Individual provider Active NPI

Marjorie W Kacir, OT

  • Occupational Therapist
  • Victoria, TX
National Provider Identifier
1407982283
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
000767 Issued in CT
Practice address
1905 Leary LN
Victoria, TX 77901-2818
Phone
(361) 573-0731
Fax
(361) 576-4804
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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 000767 CT Primary

Addresses

Primary practice location

1905 Leary LN
Victoria, TX 77901-2818

Mailing address

1905 Leary LN
Victoria, TX 77901-2818
Phone (361) 573-0731

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

LicenseStateTypeSpecialty
000767CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Region III Education Service Center Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1407982283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LEARY LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012818",
            "telephone_number": "361-573-0731",
            "fax_number": "361-576-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LEARY LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012818",
            "telephone_number": "361-573-0731",
            "fax_number": "361-576-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACIR",
        "first_name": "MARJORIE",
        "middle_name": "W",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "000767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.