Active NPI
Marianne S Outzen, OTR
- Hand Occupational Therapist
- Palo Alto, CA
National Provider Identifier
1073718540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1145
- Practice address
- 900 Blake Wilbur Dr
Suite W1080
Palo Alto, CA 94304-2201 - Phone
- (650) 723-1702
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 1145 | CA | Primary |
Addresses
Primary practice location
900 Blake Wilbur Dr
Suite W1080
Palo Alto, CA 94304-2201
Mailing address
1644 Dallas CT
Los Altos, CA 94024-6119
Phone (650) 269-8763
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | CA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073718540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 DALLAS CT",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940246119",
"telephone_number": "650-269-8763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BLAKE WILBUR DR",
"address_2": "SUITE W1080",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943042201",
"telephone_number": "650-723-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTZEN",
"first_name": "MARIANNE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "1145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.