Marilyn A Micka-Pickunka, MA OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4127 Issued in MA

Practice address

25 Coles Meadow Rd
Northampton, MA 01060-1126

Phone

(413) 219-7857

NPI assigned

Apr 2, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr MMP Services

  • Specialist
  • Westhampton, MA
  • NPI 1376936435
  Medicare reassignment Authorized official
• Safe Steps Wellness Center LLC

  • Specialist
  • Westhampton, MA
  • NPI 1972825917
  NPD Authorized official
• Excella Homecare, Inc.

  dba Enhabit Home Health

  • Home Health Agency
  • Wilmington, MA
  • NPI 1649351354
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1407977028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLES MEADOW RD",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601126",
            "telephone_number": "413-219-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLES MEADOW RD",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010601126",
            "telephone_number": "413-219-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKA-PICKUNKA",
        "first_name": "MARILYN",
        "middle_name": "A",
        "credential": "MA OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "4127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Metzger, LICSW
• Barbara Ann Meyer, EDD
• Holly K. Michaelson, MD
• Ann F Mick, M.D.
• Charles Andrew Mick, M.D.
• Krystyna Midura, RN
• Dennis A Miehls, PH.D.
• Sarah Mikesell-Johnson
• Jenny Miller Sechler, LICSW
• Alexander Ron Miller, MD

• Occupational Therapist in Northampton, MA
• Providers in Northampton, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.