MRS. TRACY LEE MANZONI OTR/L
NPI 1225592017
Occupational Therapist in Kingston, PA

Active since January 25, 2019
615 WYOMING AVE, KINGSTON, PA 18704(570) 288-5496 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Tracy Lee Manzoni Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACY LEE MANZONI OTR/L (NPI 1225592017) is an individual occupational therapist in Kingston, Pennsylvania, licensed in Pennsylvania (OC002862L) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1225592017
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. TRACY LEE MANZONICredential: OTR/L
Location Address615 WYOMING AVEKingston, PA 18704-3703
Mailing Address615 Wyoming AveKingston, PA 18704-3703 · (570) 288-5496
Sole ProprietorYes
Enumeration DateJanuary 25, 2019
✔ NPI 1225592017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in PA · OC002862L
Definition
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.
615 WYOMING AVE, Kingston, PA 18704

Other Names 1

Former Name (1)Tracy Lee Cave Otr/l

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Lee Manzoni Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tracy Manzoni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
5 JACQUELYN LN
Dallas, PA 18612
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
615 WYOMING AVE
KINGSTON, PA 18704
Physical Therapist
615 WYOMING AVE
KINGSTON, PA 18704
Skilled Nursing Facility
615 WYOMING AVE
KINGSTON, PA 18704
Physical Therapist
615 WYOMING AVE
KINGSTON, PA 18704
Skilled Nursing Facility
615 WYOMING AVE
KINGSTON, PA 18704
Skilled Nursing Facility
615 WYOMING AVE
KINGSTON, PA 18704
Skilled Nursing Facility
615 WYOMING AVE
KINGSTON, PA 18704
Physical Medicine & Rehabilitation
615 WYOMING AVE
KINGSTON, PA 18704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Manzoni's NPI number?

The NPI number for Tracy Manzoni is 1225592017. It was assigned to this individual provider in the NPPES registry on January 25, 2019. The provider is also known as Tracy Lee Cave Otr/L.

Where is Tracy Manzoni located?

Tracy Manzoni practices at 615 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-5496.

What is Tracy Manzoni's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Tracy Manzoni enrolled in Medicare?

Yes. Tracy Manzoni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Manzoni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Manzoni reassigns Medicare benefits to Cip Rehabilitation Inc (Dallas, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Manzoni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Manzoni was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.