Diana Marija Manitz, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009789 Issued in MI

Practice address

3200 W Liberty Rd
Ann Arbor, MI 48103-9746

Phone

(586) 556-1137

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Diana Marija Jankus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491696000000",
    "number": "1649702812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14204 EISENBEISER DR",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189531",
            "telephone_number": "586-556-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039746",
            "telephone_number": "586-556-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANITZ",
        "first_name": "DIANA",
        "middle_name": "MARIJA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JANKUS",
            "middle_name": "MARIJA",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Mangum, DDS
• Courtney Wheeler Mangus, M.D.
• Sandra Manhan, RN., CNM., DNP
• Sahil Manhas, DDS
• Asaithambi Manikantan, MSPT
• Sunil Manjila, M.D
• Allison Kathryn Mankowski, MPH, RD
• Peter Mankowski, MD
• Jacquelyn Mann
• Laura Marie Mann, PA-C

• Occupational Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.