June Maria Manderichio, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT18394 Issued in FL

Practice address

Home Sweet Home
11246 SW Olmstead Drive
Port St Lucie, FL 34987

Phone

(732) 221-4109

NPI assigned

Dec 5, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1932402468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 SW MOUNT VERNON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532358",
            "telephone_number": "732-221-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOME SWEET HOME",
            "address_2": "11246 SW OLMSTEAD DRIVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "732-221-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDERICHIO",
        "first_name": "JUNE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-05",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melonie Elizabeth Maldonado, BCBA
• Imran Mushtaq Malik, M.D.
• Carol Maloch
• Maria Mancuso
• Gianna Mandat
• Kara Mann, DO
• Jennie Manna
• Cherelle L Mansfield, MSW
• Yurmila Mantilla
• Sharmila Maragh, R.N

• Occupational Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.