Active NPI
Grace Lim Manuel, OT
- Occupational Therapist
- Elmhurst, NY
National Provider Identifier
1861701633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 015893-1
- Practice address
- 5454 83Rd St
Elmhurst, NY 11373-4744 - Phone
- (909) 991-5214
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 015893-1 | NY | Primary |
Addresses
Primary practice location
5454 83Rd St
Elmhurst, NY 11373-4744
Mailing address
5454 83Rd St
Elmhurst, NY 11373-4744
Phone (909) 991-5214
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015893-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecam Therapy Services, LLC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Clifton, NJ
- NPI 1578001434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1861701633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 83RD ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734744",
"telephone_number": "909-991-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 83RD ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734744",
"telephone_number": "909-991-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "GRACE",
"middle_name": "LIM",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "015893-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.