Organization Active NPI

Macmanus Therapy, OT, P.C.

  • Neurorehabilitation Occupational Therapist
  • Huntington, NY
National Provider Identifier
1710498779
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
012234-1 Issued in NY
Legal business name
MACMANUS THERAPY, OT, P.C.
Practice address
444 W Jericho Tpke
Huntington, NY 11743-6061
Phone
(516) 729-1352
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Ian Michael Macmanus, OTR/LNPI 1598918252
Title
Owner/President
Phone
(516) 729-1352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XN1300X 012234-1 NY Primary

Addresses

Primary practice location

444 W Jericho Tpke
Huntington, NY 11743-6061

Mailing address

28 Briarwood Dr
Huntington, NY 11743-4138
Phone (516) 729-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180118000124 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022377118 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

158 E Main St
Ste 4
Huntington, NY 11743
Phone (516) 729-1352

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1710498779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BRIARWOOD DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434138",
            "telephone_number": "516-729-1352",
            "fax_number": "631-659-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436061",
            "telephone_number": "516-729-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACMANUS THERAPY, OT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "MACMANUS",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-729-1352",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "012234-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.