Marsha A North, COTA

Individual provider Active NPI Occupational Therapy Assistant · Holland, NY

NPI 1295030765 · NPPES record last updated Jan 14, 2011

Key facts

NPI
1295030765
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3721 (NY)
Practice address
103 Canada St.
Holland, NY 14080
Phone
(716) 537-8250
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3721NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Occupational and Physical Therapy Associates Services PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3721 NY Yes

Addresses

Primary practice location

103 Canada St.
Holland, NY 14080

Mailing address

2495 Main Street
Suite 234
Buffalo, NY 14214
Phone (716) 836-5929

Other providers in Holland, NY

All providers in Holland, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.