Curtis Manganello, OTR

Individual provider Active NPI Occupational Therapist · South Windsor, CT

NPI 1780339697 · NPPES record last updated Feb 18, 2022

Key facts

NPI
1780339697
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2408 (CT)
Practice address
1000 Evergreen Way
South Windsor, CT 06074-5571
Phone
(860) 851-9328
Fax
(847) 730-2490
NPI assigned
Feb 18, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2408CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist Current
since Feb 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2408 CT Yes

Addresses

Primary practice location

1000 Evergreen Way
South Windsor, CT 06074-5571

Mailing address

69 Arlene St
Torrington, CT 06790-3832
Phone (860) 796-9311

Other providers in South Windsor, CT

All providers in South Windsor, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.