Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Manzik

Individual provider Occupational Therapist · NPI 1790505543

Jordan Manzik is an Occupational Therapist in Private Practice in Dedham, Massachusetts. Qualified in 2013, 13 years ago. Practices with Fox Rehab MA LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
13
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

391 Common St
Dedham, MA 02026-4055
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTL11212 (MA)

Record details

NPI number1790505543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Fox Rehab Ma Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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