Individual provider Active NPI

Maryanne Sacco-Peterson, OTR/L

  • Research Study Specialist
  • Bethesda, MD
National Provider Identifier
1053542316
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
03243 Issued in MD
Practice address
Nih Rehabilitation Medicine Department
10 Center Drive Room 1-1469 MSC 1604
Bethesda, MD 20892-0001
Phone
(301) 496-4733
Fax
(301) 480-0669
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X 03243 MD Primary

Addresses

Primary practice location

Nih Rehabilitation Medicine Department
10 Center Drive Room 1-1469 MSC 1604
Bethesda, MD 20892-0001

Mailing address

9635 Parkwood Dr
Bethesda, MD 20814-4052
Phone (240) 461-9269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03243MDMDResearch Study Specialist

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1053542316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 PARKWOOD DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144052",
            "telephone_number": "240-461-9269",
            "fax_number": "301-480-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIH REHABILITATION MEDICINE DEPARTMENT",
            "address_2": "10 CENTER DRIVE ROOM 1-1469 MSC 1604",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-496-4733",
            "fax_number": "301-480-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO-PETERSON",
        "first_name": "MARYANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "MD",
            "license": "03243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.