Marrem Penaflor Aiello, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60857078 Issued in WA

Practice address

785 SE Bayshore Dr Ste 102
Oak Harbor, WA 98277-3275

Phone

(360) 279-8323

Fax

(360) 279-8772

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1407341985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NW OUTRIGGER LOOP",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777254",
            "telephone_number": "224-616-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SE BAYSHORE DR STE 102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773275",
            "telephone_number": "360-279-8323",
            "fax_number": "360-279-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 NW Outrigger Loop",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982777254",
            "country_code": "US",
            "telephone_number": "224-616-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIELLO",
        "first_name": "MARREM",
        "middle_name": "PENAFLOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60857078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "OT60857078",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.