Marisa Laforest, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1437 Issued in ME

Practice address

55 Spring Street
Suite a
Scarborough, ME 04074

Phone

(207) 396-7337

Fax

(207) 885-4349

NPI assigned

Jan 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Crudo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1134664832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERSIDE ST",
            "address_2": "SUITE 6B",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031073",
            "telephone_number": "207-661-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRING STREET",
            "address_2": "SUITE A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-396-7337",
            "fax_number": "207-885-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOREST",
        "first_name": "MARISA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "CRUDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Kurkjian, M.D.
• Michele N Kurlanski, DPM
• Jason A Lachance, MD
• Tanya Lacroix, LMT
• Katherine Anne Lafferty, MS, CGC
• Michelle Ann Lajoie, COTA/L
• Robyn Carrie Lamarre, LMT
• Bryan Andrew Lamoreau, M.D.
• Deborah Jo S Landry, LCPC-C
• Sara Marie Lane, PHARMD

• Occupational Therapist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.