Michelle Marmatakis, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

536 Old Howell Rd
Greenville, SC 29615-1969

Phone

(864) 244-3626

NPI assigned

Jul 25, 2018

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

Practice roles

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

• Pure Health Services LLC

  • Home Health Agency
  • Clarinda, IA
  • NPI 1326496787
  NPD (past)
• Pure Rehabilitation LLC

  • Multi-Specialty Clinic/Center
  • Clarinda, IA
  • NPI 1811343916
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1114404894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20756 STANFORD AVE",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261433",
            "telephone_number": "440-668-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "864-244-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMATAKIS",
        "first_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA007163",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan E Markowitz, M.D.
• Alexandria Garrity Marks, PA-C
• Brian Joseph Marks, BA
• Cynthia Rae Marks, PH.D.
• Kasey Merritt Marlow, PA
• Christian P Marocco, PA
• Marcelo Marrero Jr., DC
• Joanna Marsh
• Sarah Lyn Marsh
• Crystal Faith Marshall, PTA

• Occupational Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.