Alexis Marie Manning, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025355-01 Issued in NY

Practice address

205 Kenmore Ave
Tonawanda, NY 14223-3017

Phone

(716) 262-3099

NPI assigned

Feb 14, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wny Occupational Therapy Services PLLCGroup PAC ID 2466840814, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Wny Occupational Therapy Services PLLC

  • Occupational Therapist
  • Clarence, NY
  • NPI 1720755051
  Medicare reassignment Care Compare group NPD Authorized official
• Wny Occupational Therapy Services PLLC

  • Durable Medical Equipment & Medical Supplies
  • Clarence, NY
  • NPI 1831005735
  NPD (past)

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1780277459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 KENMORE AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142233017",
            "telephone_number": "716-262-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KENMORE AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142233017",
            "telephone_number": "716-262-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025355-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Lisa Mack, DPT
• John J Maggio, DDS
• Kathleen Mahany
• Abigail Grace Makofske
• Danielle S Mangat, LCSW
• Andrea Manyon, MD
• Tatyana Manzik, PA
• Matthew Marco
• Christine Anne Marple, M.S. CCC-SLP,NYS LIC
• Diane E Marsh, CASAC

• Occupational Therapist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.