Lishen Angelie Maneja

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18737 Issued in FL

Practice address

8700 A C Skinner Pkwy
Jacksonville, FL 32256-0836

Phone

(904) 642-7300

NPI assigned

Jan 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1760135867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 BILOXI TRL",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684240",
            "telephone_number": "347-209-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 A C SKINNER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560836",
            "telephone_number": "904-642-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEJA",
        "first_name": "LISHEN",
        "middle_name": "ANGELIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kendall Mandt, RBT
• Sherlie Mane
• Anna Manelis, DPT, PH.D.
• Caroline Danell Manemann, DPT
• Shailey Nicole Manfredo
• Lauren Alexandra Manganiello, MD
• Kristy M Mangano

• Occupational Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.