JOEL PERMODA MANN (OTR) – Physical Rehabilitation Occupational Therapist, NPI 1174024525

JOEL PERMODA MANN (OTR) is a healthcare provider. based in Lansing, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 5201007608 (MI). The NPI Number for JOEL PERMODA MANN (OTR) is 1174024525

Main info

Male
Sole Proprietor
17 Years Of Experience
Name
JOEL PERMODA MANN (OTR)
NPI
1174024525
Phone
(517) 749-0745
Address
511 WESTMORELAND AVE
Enumeration Date
21 February 2018
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
7618496084
Professional Enrollment ID
I20250529000314
Address ID
MI489151972LA511XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for JOEL PERMODA MANN (OTR)

  • 511, Westmoreland Avenue, Old Oakland, Lansing, Ingham County, Michigan, 48915, United States

    LANSING, MI 489151972

    Phone: (517) 749-0745

    Type: Mailing

  • 3860 Dobie Rd

    Okemos, MI 488643704

    Phone: (517) 381-6100

    Type: Location

  • 1000 N HOMER ST

    LANSING, MI 489124903

    Phone: (517) 993-5815

    Fax: (517) 394-7716

    Type: Location

  • 3860, Dobie Road, Okemos, Meridian Charter Township, Ingham County, Michigan, 48864, United States

    OKEMOS, MI 488643704

    Phone: (517) 381-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250529000314IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48915)

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Reviews

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Frequently asked questions

Is there an official ID for JOEL PERMODA MANN (OTR) in U.S. healthcare records?
The official identifier for JOEL PERMODA MANN (OTR) is NPI 1174024525.
Is JOEL PERMODA MANN (OTR) still an active registrant?
JOEL PERMODA MANN (OTR) carries an active NPI according to the public dataset.
What clinical focus is listed for JOEL PERMODA MANN (OTR)?
At a glance, JOEL PERMODA MANN (OTR) is tied to Physical Rehabilitation Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Michigan is JOEL PERMODA MANN (OTR) registered?
Use Lansing, Michigan as the headline location for JOEL PERMODA MANN (OTR) here.
Can I trust this NPI listing for JOEL PERMODA MANN (OTR)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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