Active NPI
Laura Manley
- Occupational Therapist
- Eynon, PA
National Provider Identifier
1689206757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 829 Scranton Carbondale Hwy
Eynon, PA 18403-1020 - Phone
- (570) 383-0825
- NPI assigned
- Feb 6, 2020
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
829 Scranton Carbondale Hwy
Eynon, PA 18403-1020
Mailing address
829 Scranton Carbondale Hwy
Eynon, PA 18403-1020
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Laura.manley@revolutionary.cc | ||
| Direct Messaging Address | Laura.manley@revolutionary.cc |
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)
- Enrolled
Interoperability endpoints
- laura.manley@revolutionary.cc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1689206757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 SCRANTON CARBONDALE HWY",
"city": "EYNON",
"state": "PA",
"postal_code": "184031020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 SCRANTON CARBONDALE HWY",
"city": "EYNON",
"state": "PA",
"postal_code": "184031020",
"telephone_number": "570-383-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Laura.manley@revolutionary.cc",
"affiliation": "N",
"address_1": "829 Scranton Carbondale Hwy",
"city": "Eynon",
"state": "PA",
"country_code": "US",
"postal_code": "184031020",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Laura.manley@revolutionary.cc",
"affiliation": "N",
"address_1": "829 Scranton Carbondale Hwy",
"city": "Eynon",
"state": "PA",
"country_code": "US",
"postal_code": "184031020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eynon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.