Jennifer Manning

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8826097 Issued in MN

Legal business name

JENNIFER MANNING

Doing business as

Lake Region Therapy Services

Practice address

803 Roosevelt Ave
Suite 301
Detroit Lakes, MN 56501

Phone

(218) 844-5555

Fax

(218) 844-6057

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Michelle Manning, OTRLNPI 1609099290

Title

Owner Occupational Therapist

Phone

(218) 844-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Region Therapy Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Michelle Manning, OTR/L, CHT

  • Occupational Therapist
  • Shiprock, NM
  • NPI 1609099290
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1669413027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ROOSEVELT AVE",
            "address_2": "SUITE 301",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-844-5555",
            "fax_number": "218-844-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ROOSEVELT AVE",
            "address_2": "SUITE 301",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-844-5555",
            "fax_number": "218-844-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MANNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "218-844-5555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "8826097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE COSS BLUE SHIELD",
            "identifier": "053D8LA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Region Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald H Janes
• Naomi M Janke, M.S. CCC-SLP
• Brent M Jansen, APRN, NPC
• Jade Christine Jasken
• Debra D Jellison, CRNA
• Greta Marie Jeska, LPCC
• Jesola Inc
• Jeffrey R Johannsen, CRNA
• John R Jordan DDS PA
• Johnson Natural Health Care PA

• Occupational Therapist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.