Active NPI
Wesley Herrick Marean III
- Occupational Therapy Assistant
- Avon, NY
National Provider Identifier
1275854556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 007127-1
- Practice address
- 17 Bronson Ave
Avon, NY 14414-1001 - Phone
- (585) 447-1446
- NPI assigned
- Jun 21, 2010
- Last updated
- Jun 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 007127-1 | NY | Primary |
Addresses
Primary practice location
17 Bronson Ave
Avon, NY 14414-1001
Mailing address
17 Bronson Ave
Avon, NY 14414-1001
Phone (585) 447-1446
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 |
|---|---|---|---|
| 007127-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1275854556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 BRONSON AVE",
"city": "AVON",
"state": "NY",
"postal_code": "144141001",
"telephone_number": "585-447-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BRONSON AVE",
"city": "AVON",
"state": "NY",
"postal_code": "144141001",
"telephone_number": "585-447-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAREAN",
"first_name": "WESLEY",
"middle_name": "HERRICK",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-21",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "007127-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, NY
- Wena Christine Klein, LMT
- Alexis Klintworth, RN
- Lattimore of Geneseo Physical Therapy PC (Avon Physical Therapy)
- Donyelle M Losee, DPT
- Andrea Rose Maggioli, PHARM D
- Caitlin McCauley, ATC
- Kelli Lynn McKenna-D'Ambrosio, M.A., CCC-SLP
- Nicole P Montesano, R.N.
- Lynn Marie Northup, PT
- Michael Kevin Oros, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.