Marie Adelfa Fuller Zurenda, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2002 Issued in ID

Practice address

1009 Flameleaf CT
Lewisville, NC 27023-8611

Phone

(786) 217-7544

Fax

(336) 776-0099

NPI assigned

Jul 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Seasons Therapy

  • Rehabilitation Clinic/Center
  • Blackfoot, ID
  • NPI 1033678180
  NPD (past) Authorized official
• Lifeworks Unilimited Pediatric Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Lewisville, NC
  • NPI 1972964708

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1215344023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 LYN DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832213661",
            "telephone_number": "406-521-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 FLAMELEAF CT",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270238611",
            "telephone_number": "786-217-7544",
            "fax_number": "336-776-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER ZURENDA",
        "first_name": "MARIE",
        "middle_name": "ADELFA",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "9318",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13777",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleesha L Dunham
• Eckerd Corporation (Rite AId Pharmacy 11314)
• Tabitha Ikpechukwu Efobi, DMD
• Vanessa Fitzgerald
• Forsyth Memorial Hospital Inc (Novant Health Lewisville Family Medicine)
• Teresa Lynn Funk, PHARM D
• Maria Guadalupe Garcia-Toledo, LPC
• Kathleen Glover, NCC, LPC
• April S. Gonzalez, LMBT
• Liat Gerber Handing, LMFT

• Occupational Therapy Assistant in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.