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Charlot Marie Manderson

Physician β€’ Winter Garden, FL

Active NPI 1497314504 Individual Practitioner Female Practitioner
Practice location in NPPES

1002 S Dillard St
Winter Garden, FL 347873991

Call 4078770029 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1002 S Dillard St

Winter Garden, FL 347873991

Telephone 4078770029
Fax 4073585207
Organization at the Same NPPES Address or Phone
Digesh Chokshi, Md, Pa Facility NPI 1790795268

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Early Intervention Provider Agency Primary Specialty

NUCC Taxonomy Code: 252Y00000X

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Early Intervention Provider Agency

βœ…
NPI Profile Active June 12, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 12, 2019

Registered at 1002 S DILLARD ST, WINTER GARDEN, FL 347873991 (Tel: 4078770029)

πŸ“
Business Mailing Address (Initial Record) June 12, 2019

Registered at 3507 STARCATCHER ST, SAINT CLOUD, FL 347728272 (Tel: 4075084444)

πŸ‘€
Provider Name / Credentials (Initial Record) June 12, 2019

Recorded as CHARLOT MANDERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Developmental Therapist

🟒
Initial NPI Registration & Enumeration June 12, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497314504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2019
Last Update: July 11, 2019
Sole Proprietor: Yes

Mailing Address

3507 Starcatcher St

Saint Cloud, FL 347728272

Phone: 4075084444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.