Michelle Marie Mangio, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT8458 Issued in CA

Practice address

1580 Southgate Ave
#420
Daly City, CA 94015-2262

Phone

(650) 283-2087

Fax

(650) 991-3658

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Synergy Rehab Services Inc.

  • Occupational Therapist
  • Daly City, CA
  • NPI 1407089428
  NPD (past) Authorized official

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1992937114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SOUTHGATE AVE",
            "address_2": "#420",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152262",
            "telephone_number": "650-283-2087",
            "fax_number": "650-991-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SOUTHGATE AVE",
            "address_2": "#420",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152262",
            "telephone_number": "650-283-2087",
            "fax_number": "650-991-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIO",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT8458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT8458",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adele Makow, M.D
• Crystalyn Malbas
• Audrey Rose Malicdem
• Rachel L Malina, MD
• Wenyan Man, M.D.
• Christopher Manuel
• Julie-Anne Manuel, CCC-SLP
• Maria Theresa Maranon
• Janelle Renee Maravelias, DPM
• Maria Angara Dental Corporation

• Occupational Therapist in Daly City, CA
• Providers in Daly City, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.