DEREK MANZ OT
NPI 1659722122
Occupational Therapist in Green Bay, WI

Active since June 27, 2016Accepts Medicare Assignment
1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-8450 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek Manz Ot NPPES

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

DEREK MANZ OT (NPI 1659722122) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Wisconsin (5591-26) and active in the NPI registry since June 2016. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1659722122
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameDEREK MANZCredential: OT
Location Address1160 KEPLER DRGreen Bay, WI 54311-8321
Mailing Address1160 Kepler DrGreen Bay, WI 54311-8321 · (920) 288-8450
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2016
NPI 1659722122 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 WI · 5591-26
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.

1160 KEPLER DR, Green Bay, WI 54311

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Derek Manz is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7810412350

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250417001251

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Rehabilitation Hospital
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Dietitian, Registered
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Physician Assistant
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1160 KEPLER DR
GREEN BAY, WI 54311
Psychologist (Clinical)
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Specialist/Technologist (Athletic Trainer)
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Family Medicine
1160 KEPLER DR
GREEN BAY, WI 54311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659722122, enumerated as an "individual" on June 27, 2016.

The provider is located at 1160 KEPLER DR GREEN BAY, WI 54311 and the phone number is (920) 288-8450.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare) and Quartz. Please consult your insurance carrier or call the provider to verify.