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

Individual provider Occupational Therapist · NPI 1003066788

Kristen M Manecke, OT is an Occupational Therapist in Private Practice in LA Jolla, California. Qualified in 1999, 27 years ago. Practices with Sd Sports Medicine and Family Health Center, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2008
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

4130 La Jolla Village Dr Ste 103
LA Jolla, CA 92037-9121
Phone: (858) 455-8584
Fax: (858) 455-7302
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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 2537 (CA)

Record details

NPI number1003066788
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESFebruary 3, 2014

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Sd Sports Medicine And Family Health Center — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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