Individual provider Active NPI

Marzena Marianna Okoniak-White

  • Occupational Therapy Assistant
  • Franklin, IN
National Provider Identifier
1366796427
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32001752A Issued in IN
Practice address
1070 W Jefferson St
Franklin, IN 46131-2179
Phone
(317) 736-1119
NPI assigned
Oct 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 32001752A IN Primary

Addresses

Primary practice location

1070 W Jefferson St
Franklin, IN 46131-2179

Mailing address

910 Windstar Blvd
Franklin, IN 46131-7379
Phone (317) 560-9022

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
32001752AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1366796427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WINDSTAR BLVD",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317379",
            "telephone_number": "317-560-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W JEFFERSON ST",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312179",
            "telephone_number": "317-736-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONIAK-WHITE",
        "first_name": "MARZENA",
        "middle_name": "MARIANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001752A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.