Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKEISHA MANGHAM, OTR/L
Deactivated Sole ProprietorMIKEISHA MANGHAM, OTR/L is a Occupational Therapist healthcare provider located in GAINESVILLE, Florida. NPI 1205584067 is deactivated in the NPPES registry. Verify at CMS.
Occupational Therapist · GAINESVILLE, FL
This NPI has been deactivated.
The record was deactivated on March 11, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205584067
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2022
- Last Updated
- Apr 25, 2022
- Deactivated
- Mar 11, 2022
- License
-
22787 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 SW 75TH ST APT C01GAINESVILLE, FL, 326071602Browse FL providers · Browse ZIP 32607
- Phone
- 3523634059
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in GAINESVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC HICKS | MS OTR/L | 1972581726 |
| MARTHA J CARLSON | OTR/L | 1902885064 |
| MARY C KEITH | OTR | 1790728343 |
| MS. KIM MARIE CHRONISTER | OTR/L | 1710921176 |
| MS. KATHLEEN RAY HORN | MS, OTR/L | 1316982598 |
| KELLY SIMPSON | MOT, OTR/L | 1275561672 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.