Active NPI
Marianne Pastorella, CTRS, OTR
- Occupational Therapist
- Evans Mills, NY
National Provider Identifier
1316213796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 26200 Red Tail LN
Evans Mills, NY 13637-3436 - Phone
- (315) 796-7304
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NY | Primary | |
| Recreation Therapist | 225800000X | 55210 | NY |
Addresses
Primary practice location
26200 Red Tail LN
Evans Mills, NY 13637-3436
Mailing address
26200 Red Tail LN
Evans Mills, NY 13637-3436
Phone (315) 796-7304
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 |
|---|---|---|---|
| 55210 | NY | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1316213796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26200 RED TAIL LN",
"city": "EVANS MILLS",
"state": "NY",
"postal_code": "136373436",
"telephone_number": "315-796-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26200 RED TAIL LN",
"city": "EVANS MILLS",
"state": "NY",
"postal_code": "136373436",
"telephone_number": "315-796-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORELLA",
"first_name": "MARIANNE",
"name_prefix": "Ms.",
"credential": "CTRS, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "55210",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans Mills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.