Individual provider Active NPI

George J Manos, OT-R

  • Occupational Therapist
  • Greenwood, SC
National Provider Identifier
1962552406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1881 Issued in SC
Practice address
102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone
(864) 229-2663
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1881 SC Primary

Addresses

Primary practice location

102 Gregor Mendel Cir
Greenwood, SC 29646-2315

Mailing address

PO Box 3243
Greenwood, SC 29648-3243
Phone (864) 229-2663

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

LicenseStateTypeSpecialty
1881SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakelands Orthopaedic Clinic Past Accepting new patients
Genesis Sports & Rehabilitation Services, LLC PastSince Apr 1, 2013 Accepting new patients
Lakelands Orthopaedic Clinic PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962552406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3243",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296483243",
            "telephone_number": "864-229-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREGOR MENDEL CIR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462315",
            "telephone_number": "864-229-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOS",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OT-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.