MRS. TRACY LEE MANZONI (NPI# 1225592017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225592017 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LEE MANZONI |
| Other Name | TRACY LEE CAVE |
| Credential | OTR/L |
| Practice Address |
615 Wyoming Ave Kingston PA 18704-3703 |
| Practice Telephone | 5702885496 |
| Mailing Telephone | 5702885496 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC002862L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921629 | Tracy Manzoni | Psychologist | 510 Keystone Blvd, Patterson, CA 95363-8861 | 2018-08-08 |
| Street Address |
615 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072152 | The Rehabilitation Group of Pennsylvania, Inc. | Skilled Nursing Facility | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2005-06-13 |
| 1902360761 | Kate Farrigan | Speech-Language Pathologist | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2019-01-25 |
| 1194200873 | Guardian Elder Care At Kingston LLC | Skilled Nursing Facility | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2018-09-28 |
| 1780111864 | Platinum Health At River Run LLC | Skilled Nursing Facility | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2017-05-19 |
| 1245662584 | River Run LLC | Durable Medical Equipment & Medical Supplies | 615 Wyoming Ave, Kingston, PA 18704-3703 | 2013-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| 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 |
|---|---|---|---|---|
| 1588284863 | Rise Therapy & Wellness LLC | Occupational Therapist | 594 Tioga Ave, Kingston, PA 18704-5626 | 2020-04-16 |
| 1760937387 | Caitlin Reilly Wolf | Occupational Therapist | 139 Fairview Ave, Kingston, NY 12401-2827 | 2016-08-24 |
| 1679937676 | Allison Difebo | Occupational Therapist | 368 Winola Ave, Kingston, PA 18704-5125 | 2016-04-06 |
| 1780058867 | Maura Cadwalader | Occupational Therapist | 174 S Dawes Ave, Kingston, PA 18704-5729 | 2015-11-30 |
| 1356726004 | Mona Tamakuwala | Occupational Therapist | 183 Smith Ave, Kingston, NY 12401-3524 | 2015-07-23 |
| 1063840809 | Lauren Jaffe | Occupational Therapist | 4437 Route 27, Kingston, NJ 08528 | 2013-10-14 |
| 1023362019 | Cynthia Susan Dudley | Occupational Therapist | 29749 Rash Rd Ne, Kingston, WA 98346-8622 | 2012-10-30 |
| 1588922074 | Erin Elizabeth Paff | Occupational Therapist | 341 Chester St, Kingston, PA 18704-5133 | 2012-05-02 |
| 1669743670 | Maria C Dorsey | Occupational Therapist | 5 Village Path, Kingston, MA 02364-3310 | 2012-01-23 |
| 1841406048 | Marnie Anne Tafferner | Occupational Therapist | 2 Meadowwood Rd, Kingston, NH 03848-3158 | 2007-05-15 |
| Find all providers in KINGSTON | ||||
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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.