Individual provider Active NPI

Marilyn Sharpe, OTR

  • Occupational Therapist
  • Avon, CT
National Provider Identifier
1316683329
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
001053 Issued in CT
Practice address
652 W Avon Rd
Avon, CT 06001-2906
Phone
(860) 673-2521
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 001053 CT Primary

Addresses

Primary practice location

652 W Avon Rd
Avon, CT 06001-2906

Mailing address

2600 S Kanner Hwy Apt N4
Stuart, FL 34994-4628
Phone (860) 416-8451

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL What'sapp
Other URL What'sapp

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

LicenseStateTypeSpecialty
001053CTMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1316683329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S KANNER HWY APT N4",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944628",
            "telephone_number": "860-416-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012906",
            "telephone_number": "860-673-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "MARILYN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "What'sapp",
            "affiliation": "N",
            "address_1": "2600 S Kanner Hwy Apt N4",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "What'sapp",
            "affiliation": "N",
            "address_1": "2600 S Kanner Hwy Apt N4",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.