Manifold Grace Rehabilitation LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MANIFOLD GRACE REHABILITATION LLC

Practice address

22380 FM 2484
Killeen, TX 76542-5076

Phone

(432) 940-2153

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Allison Rosen, OTR

Title

Member

Phone

(432) 940-2153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1770346553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "432-940-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22380 FM 2484",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425076",
            "telephone_number": "432-940-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFOLD GRACE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "432-940-2153",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Maldonado
• Stevie Malensky
• Rowena M Manalo, RN
• Manfred & Associates, PA
• Damica Mangaroo
• Anthony Mann, RD/RDN
• Siobhan Manning, FNP
• Shaquess Mapps
• Joshua John Marbach, PHD, LP, LSSP
• Danamarie Marcelo

• Occupational Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.