Individual provider Active NPI

Marlana Mascarenas, C.O.T.A.

  • Occupational Therapy Assistant
  • Brighton, CO
National Provider Identifier
1356743637
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
366 Issued in CO
Practice address
559 Heron St
Brighton, CO 80601-8757
Phone
(303) 637-9970
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 366 CO Primary

Addresses

Primary practice location

559 Heron St
Brighton, CO 80601-8757

Mailing address

559 Heron St
Brighton, CO 80601-8757
Phone (303) 637-9970

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
366COMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1356743637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 HERON ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806018757",
            "telephone_number": "303-637-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 HERON ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806018757",
            "telephone_number": "303-637-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARENAS",
        "first_name": "MARLANA",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.