Carla Mangine, OTR/L
Individual provider Active NPI Occupational Therapist · Ruckersville, VA
NPI 1972029957 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1972029957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 138 Stoneridge Dr N Ste 4
Ruckersville, VA 22968-3063 - Phone
- (434) 985-2288
- Fax
- (434) 985-6909
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Disabilities Center | Past | Accepting new patients | |
| Developmental Disabilities Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
138 Stoneridge Dr N Ste 4
Ruckersville, VA 22968-3063
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT.0000956 | Other | CO | INSURANCE |
| OT.0000956 | Medicaid | CO |
Other providers in Ruckersville, VA
- Life Works Professional Counseling, PLLC
- Micah Garrett Lindsey
- Livinrite Home Health Services of Central Virginia LLC
- Susana Lopez
- Kayla Marie Magnone
- William Ryan McCoull
- Melanie E. Canada
- Cory Merva
- Mindful Innovations LLC
- Dannette Nichelle Morris
All providers in Ruckersville, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.