Individual provider Active NPI

Barbara Copino Manguerra, OTR

  • Occupational Therapist
  • Flushing, NY
National Provider Identifier
1851554323
Registry record updated Jul 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
014945 Issued in NY
Practice address
4344 Kissena Blvd
Suite la
Flushing, NY 11355-3766
Phone
(718) 878-2224
Fax
(718) 878-2010
NPI assigned
Jul 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 014945 NY Primary

Addresses

Primary practice location

4344 Kissena Blvd
Suite la
Flushing, NY 11355-3766

Mailing address

PO Box 528160
Flushing, NY 11352-8160
Phone (718) 878-2224

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215216000000",
    "number": "1851554323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528160",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113528160",
            "telephone_number": "718-878-2224",
            "fax_number": "718-878-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 KISSENA BLVD",
            "address_2": "SUITE LA",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553766",
            "telephone_number": "718-878-2224",
            "fax_number": "718-878-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUERRA",
        "first_name": "BARBARA",
        "middle_name": "COPINO",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-05",
        "last_updated": "2008-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; 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.