Active NPI
Shanda Maricle
- Occupational Therapy Assistant
- Cape Coral, FL
National Provider Identifier
1376918185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA14866
- Practice address
- 4920 Viceroy CT
Cape Coral, FL 33904-9048 - Phone
- (239) 542-3121
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA14866 | FL | Primary |
Addresses
Primary practice location
4920 Viceroy CT
Cape Coral, FL 33904-9048
Mailing address
4920 Viceroy CT
Cape Coral, FL 33904-9048
Phone (239) 542-3121
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 |
|---|---|---|---|
| OTA14866 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1376918185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 VICEROY CT",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049048",
"telephone_number": "239-542-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 VICEROY CT",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049048",
"telephone_number": "239-542-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARICLE",
"first_name": "SHANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "OTA14866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.