Lisa Marie Mannino, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

017861 Issued in NY

Practice address

168 Amber St
Staten Island, NY 10306-1822

Phone

(718) 473-4988

NPI assigned

Feb 27, 2013

Last updated

Feb 27, 2013By the provider in NPPES

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

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1801136957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 AMBER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061822",
            "telephone_number": "718-473-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 AMBER ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061822",
            "telephone_number": "718-473-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nenee Manneh
• Elizabeth Manning, DPT
• Kathleen Ann Manning, PT
• Tara Patricia Manning, PA
• Christine M. Mannino, M.S.
• Victoria Mannino
• William Emilio Mannino, FNP-BC
• Mannix Family Market @ Forest and Richmond Ave LLC (Shoprite Pharmacy of Forest and Richmond)
• Mannix Family Market at Veterans Road LLC (Shoprite Pharmacy)
• Namala Luke Manohar, MD

• Occupational Therapist in Staten Island, NY
• Providers in Staten Island, 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 Feb 27, 2013; 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.