Marena Leigh Taverne, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

027190 Issued in NY

Practice address

1601 Armory Dr
Utica, NY 13501-5405

Phone

(315) 798-4006

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1013639798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 OXFORD RD APT 28C",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134134328",
            "telephone_number": "315-794-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ARMORY DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015405",
            "telephone_number": "315-798-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERNE",
        "first_name": "MARENA",
        "middle_name": "LEIGH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027190",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "027190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Tarnacki
• Joseph Tartaglia, PTA
• Victoria Paige Tasovac, PA-C
• Eric Michael Taubert
• Curry Taurisano, OTR/L
• Kathryn A Taylor
• Leslie Elisabeth Taylor, MSED
• Sally Hollandt Taylor
• Melanie Tedesco, LMSW
• Roman Telpner, MD

• Pediatric Occupational Therapist in Utica, NY
• Providers in Utica, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.