Individual provider Active NPI

Denise Marcel, OTR

  • Occupational Therapist
  • Milford, PA
National Provider Identifier
1205069721
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005552L Issued in PA
Practice address
109 W Ann St
Milford, PA 18337-1427
Phone
(570) 296-1515
Fax
(570) 296-5039
NPI assigned
Sep 1, 2009
Last updated
Apr 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002225-1 NY
Occupational Therapist 225X00000X OC005552L PA Primary

Addresses

Primary practice location

109 W Ann St
Milford, PA 18337-1427

Mailing address

109 W Ann St
Milford, PA 18337-1427
Phone (570) 296-1515

Other identifiers 1

IdentifierTypeStateIssuer
0019265010002MedicaidPA

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

LicenseStateTypeSpecialty
002225-1NYMDOccupational Therapist
OC005552LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1205069721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W ANN ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371427",
            "telephone_number": "570-296-1515",
            "fax_number": "570-296-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W ANN ST",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183371427",
            "telephone_number": "570-296-1515",
            "fax_number": "570-296-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEL",
        "first_name": "DENISE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "002225-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005552L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019265010002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.