Marissa Naomi Taylor, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002371 Issued in CT

Practice address

43 Grove St
Portland, CT 06480-1956

Phone

(860) 508-4858

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 1

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144437583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 GROVE ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801956",
            "telephone_number": "860-508-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GROVE ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801956",
            "telephone_number": "860-508-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARISSA",
        "middle_name": "NAOMI",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "130002371CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda J Smith, LPC
• Michael Andrew Sortito, D.M.D.
• Symmetry Physical Therapy, LLC
• Wendy Ann Tagan Conroy, APRN
• Katherine Tansey, PTA
• Jessica A Terrone Roehr, DO
• Thalody Family Dentistry LLC (Portland Smile Care)
• The Wise Mind Wellness Group
• Thrive Occupational Therapy, LLC
• Evan Toner-Cao, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.