Active NPI
Maryann Oetter, OTL
- Occupational Therapist
- Cherry Hill, NJ
National Provider Identifier
1386853216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC000753L
- Practice address
- 1415 RT. 70 East
Suite 103
Cherry Hill, NJ 08034 - Phone
- (856) 482-8494
- Fax
- (800) 905-4690
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OC000753L | PA | Primary |
Addresses
Primary practice location
1415 RT. 70 East
Suite 103
Cherry Hill, NJ 08034
Mailing address
43 Buckingham Dr
Southampton, NJ 08088-1101
Phone (609) 859-1744
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 |
|---|---|---|---|
| OC000753L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386853216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 BUCKINGHAM DR",
"city": "SOUTHAMPTON",
"state": "NJ",
"postal_code": "080881101",
"telephone_number": "609-859-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 RT. 70 EAST",
"address_2": "SUITE 103",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "856-482-8494",
"fax_number": "800-905-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OETTER",
"first_name": "MARYANN",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC000753L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.