Individual provider Active NPI

Marissa Ann Zolton, OTD, OTR/L

  • Occupational Therapist
  • Holland, MI
National Provider Identifier
1265046635
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201010967 Issued in MI
Practice address
454 Baypark Dr Ste 10
Holland, MI 49424
Phone
(616) 537-6613
Fax
(616) 953-8926
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201010967 MI Primary

Addresses

Primary practice location

454 Baypark Dr Ste 10
Holland, MI 49424

Mailing address

647 Maynard Ave NW
Grand Rapids, MI 49504-4629
Phone (260) 750-9626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260314000267 MI Practitioner - Occupational Therapist in Private Practice 4789167065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

454 Bay Park Dr
Suite 10
Holland, MI 49424-2096

647 Maynard Ave NW
Grand Rapids, MI 49504-4629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201010967MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruther Health and Wellness, PLC Occupational Therapist CurrentSince Jan 3, 2026 Accepting new patients

Locations

454 Bay Park Dr
Ste 10
Holland, MI 49424
Phone (616) 537-6613

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1265046635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 MAYNARD AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044629",
            "telephone_number": "260-750-9626",
            "fax_number": "616-953-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BAYPARK DR STE 10",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-537-6613",
            "fax_number": "616-953-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLTON",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.