Lea Rose Manilla, L.AC., DIPL. O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006834-01 Issued in NY

Practice address

6800 Pittsford Palmyra Rd Ste 350
Fairport, NY 14450-3503

Phone

(585) 598-3866

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nearpass Acupuncture PLLC

  dba Perinton Family Acupuncture

  • Acupuncturist
  • Fairport, NY
  • NPI 1538680665
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1679172944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD STE 350",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503503",
            "telephone_number": "585-598-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD STE 350",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503503",
            "telephone_number": "585-598-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Franklin Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Waldwick",
            "state": "NJ",
            "postal_code": "074631843",
            "country_code": "US",
            "telephone_number": "201-857-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANILLA",
        "first_name": "LEA",
        "middle_name": "ROSE",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00145900",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006834-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mana Performance Physical Therapy
• Nancy Mancini
• Ashley E Mancuso
• Theresa Mancuso, OCCUPATIONAL THERAPI
• Laura Ann Mangerian-Smith, RN
• Brookleigh Renne Manioci, COTA
• Kirstyn Ann Manning, SLP
• Denise A Mantione, CCC-SLP
• Martha Manz, OTR/L
• Alysa Marie Mapes, RN

• Acupuncturist in Fairport, NY
• Providers in Fairport, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.