Individual provider Active NPI

Marisa Pagliccia, OTD, OTR/L

  • Occupational Therapist
  • Arlington, VT
National Provider Identifier
1386117158
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
40 Walker MDW
Arlington, VT 05250-8502
Phone
(330) 883-6346
NPI assigned
Jan 4, 2019
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 NU Primary

Addresses

Primary practice location

40 Walker MDW
Arlington, VT 05250-8502

Mailing address

40 Walker MDW
Arlington, VT 05250-8502
Phone (330) 883-6346

Other identifiers 1

IdentifierTypeStateIssuer
6711031MedicaidVT

Other names 1

  • Marisa Capogreco Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1386117158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WALKER MDW",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052508502",
            "telephone_number": "330-883-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WALKER MDW",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "052508502",
            "telephone_number": "330-883-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLICCIA",
        "first_name": "MARISA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6711031",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "CAPOGRECO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.