Active NPI
Marsha Neville, OT
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1174019897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101093
- Practice address
- 4104 Junius St.
Dallas, TX 75246 - Phone
- (972) 707-7782
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 101093 | TX | Primary |
Addresses
Primary practice location
4104 Junius St.
Dallas, TX 75246
Mailing address
3941 Candlenut LN
Dallas, TX 75244-6607
Phone (214) 689-7765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101093 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1174019897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3941 CANDLENUT LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446607",
"telephone_number": "214-689-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4104 JUNIUS ST.",
"city": "DALLAS",
"state": "TX",
"postal_code": "75246",
"telephone_number": "972-707-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "MARSHA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "101093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.