Stephen Santino Marcucci, M.S. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00002754 Issued in CT

Practice address

745 Main St
East Hartford, CT 06108-3115

Phone

(860) 578-1641

NPI assigned

Mar 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1124411806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BROOKSHIRE LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323300",
            "telephone_number": "860-652-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083115",
            "telephone_number": "860-578-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUCCI",
        "first_name": "STEPHEN",
        "middle_name": "SANTINO",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "00002754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marathon Healthcare of Torrington
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• Marcia Loving Care Home Care Agency
• Elzbieta Marcinczyk, DMD
• Rachel Marcus, LCSW
• Suzanne Margo
• Brendan Marinan, D.C.
• Elizabeth Joy Marjoram, RBT, CPR
• Eric P Markow

• Occupational Therapist in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.