Active NPI
Mahesh M Manghani, BSC.OT; OT(C); OTR/L
- Occupational Therapist
- Columbia, SC
National Provider Identifier
1669658324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1758
- Practice address
- 216 Granbury LN
Columbia, SC 29229-7589 - Phone
- (803) 788-1950
- Fax
- (803) 788-1950
- NPI assigned
- Jan 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1758 | SC | Primary |
| Hand Occupational Therapist | 225XH1200X | 1758 | SC |
Addresses
Primary practice location
216 Granbury LN
Columbia, SC 29229-7589
Mailing address
216 Granbury LN
Columbia, SC 29229-7589
Phone (803) 788-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1758 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1669658324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 GRANBURY LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297589",
"telephone_number": "803-788-1950",
"fax_number": "803-788-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 GRANBURY LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297589",
"telephone_number": "803-788-1950",
"fax_number": "803-788-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGHANI",
"first_name": "MAHESH",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "BSC.OT; OT(C); OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-12",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "1758",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "SC",
"license": "1758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.