Marissa P Meinema, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005184 Issued in CO

Practice address

129 Gardener Way
Basalt, CO 81621-8919

Phone

(517) 404-0204

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Marissa Meinema, Otrl, LLC

  • Occupational Therapist
  • Basalt, CO
  • NPI 1154127595
  NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1285489633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 GARDENER WAY",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218919",
            "telephone_number": "517-404-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 GARDENER WAY",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218919",
            "telephone_number": "517-404-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINEMA",
        "first_name": "MARISSA",
        "middle_name": "P",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jason Martin, MD
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• Christine Lynn McConnell, PA-C
• Martha L McDonald, MSPT
• Megan Verros LCSW LLC
• Sarah Jean Melear, D.P.T.
• Midvalley Ambulatory Surgery Center LLC
• Midvalley Family Practice PC
• Midvalley Imaging Center LLC
• Midvalley Imaging Center, LLC

• Occupational Therapist in Basalt, CO
• Providers in Basalt, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.