Mariana L Pesantez, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6246 Issued in NC

Practice address

2675 Court Dr
Gastonia, NC 28054-1478

Phone

(704) 748-0516

Fax

(980) 389-0044

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1346394004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-748-0516",
            "fax_number": "980-389-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-748-0516",
            "fax_number": "980-389-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESANTEZ",
        "first_name": "MARIANA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6246",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015089-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211258",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301953",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Brendell Perkins
• Briana Perkins, LPCA
• Grace Muretta Perkins, MA, LPC, LCAS-A
• Elijah Perry
• Zharyia Shanise Perry, MSW, LCSWA
• Emmeleia Peterson
• Thewanda Anise Peterson, CRNA
• Candace Churchwell Petree, PNP-C
• Caleb Timothy Pflederer, MD
• Alex H D Pham, DDS

• Occupational Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.