Individual provider Active NPI

Marisa Lenore Hira, OTR/L, CSRS

  • Occupational Therapist
  • Athens, AL
National Provider Identifier
1104683275
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4950 Issued in AL
Practice address
611 W Market St
Athens, AL 35611-2460
Phone
(334) 313-1191
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4950 AL Primary

Addresses

Primary practice location

611 W Market St
Athens, AL 35611-2460

Mailing address

113 Sunlit Grove Dr
Harvest, AL 35749-4906
Phone (334) 313-1191

Other practice location 1

11682 County Line Rd
Madison, AL 35756-3575
Phone (256) 325-3060

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
4950ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Behavioral Health, LLC Past Accepting new patients
Integrated Behavioral Health, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1104683275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUNLIT GROVE DR",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494906",
            "telephone_number": "334-313-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112460",
            "telephone_number": "334-313-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11682 County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357563575",
            "country_code": "US",
            "telephone_number": "256-325-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIRA",
        "first_name": "MARISA",
        "middle_name": "LENORE",
        "credential": "OTR/L, CSRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.