Marissa Wuennemann

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004755 Issued in CT

Practice address

6448 Main St
Trumbull, CT 06611-2075

Phone

(203) 268-6204

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1124780846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WHITE BIRCH DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113712",
            "telephone_number": "203-610-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 MAIN ST",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112075",
            "telephone_number": "203-268-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 White Birch Dr",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066113712",
            "country_code": "US",
            "telephone_number": "203-610-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUENNEMANN",
        "first_name": "MARISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "004755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women'S Obstetrics and Gynecology, P.C.
• Brian John Wooley, DMD
• Michelle Elizabeth Wormley, RPT
• Kerry Wright, D.O.
• Sylvia Wu, MD
• Yale New Haven Health System
• Milagros Yunes, MD
• Deborah R. Zabin, LCSW
• Daniel J Zaffetti, D.D.S.
• Dianna Zaffina, L.M.F.T.

• Occupational Therapist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.