MRS. TARA MANZANO (NPI# 1164853255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164853255 |
| Entity Type | Individual |
| Full Name | MRS. TARA MANZANO |
| Credential | OTR/L |
| Practice Address |
101 S Graham Ave Suite 3 Carbondale IL 62901-3043 |
| Mailing Address |
Po Box 2031 Carbondale IL 62902-2031 |
| Practice Telephone | 6183054696 |
| Mailing Telephone | 6183054696 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2014-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056006377 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
101 S GRAHAM AVE SUITE 3 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851722946 | Myofascial Release of Southern Illinois | Clinic/Center | 101 S Graham Ave, Suite 3, Carbondale, IL 62901-3043 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867502 | Jodi Erin Henderson | Occupational Therapist | 86 Weant Blvd, Carbondale, CO 81623-2040 | 2020-09-23 |
| 1396145066 | Jessica Brennan | Occupational Therapist | Rr 1 Box 1264, Carbondale, PA 18407-9637 | 2014-08-29 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1578170833 | Age In Place: Mobile Therapy, LLC | Occupational Therapist | 86 Weant Blvd, Carbondale, CO 81623-2040 | 2020-09-29 |
| 1093342503 | Rachel Watson | Occupational Therapist | 120 N Tower Rd, Carbondale, IL 62901-1929 | 2020-03-25 |
| 1528609849 | Brittany Snedeker | Occupational Therapist | 19 Dundaff St, Carbondale, PA 18407-1828 | 2019-10-08 |
| 1992244701 | Kristen Krayer | Occupational Therapist | 10 Hart Pl, Carbondale, PA 18407-1593 | 2017-02-14 |
| 1356744197 | Francesca Marie Waldron I | Occupational Therapist | 10 Hart Pl, Carbondale, PA 18407-1593 | 2014-10-08 |
| 1396148060 | Melissa Fay Lesjack | Occupational Therapist | 10 Hart Pl, Carbondale, PA 18407-1593 | 2014-10-08 |
| 1932453305 | Courtney Lyn Maynor | Occupational Therapist | 306 W Mill St, Carbondale, IL 62901-2727 | 2012-11-06 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.