Nancy Ann Marin, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1278 Issued in FL

Practice address

5270 Palm Valley Rd
Ponte Vedra Beach, FL 32082-3200

Phone

(904) 382-9790

NPI assigned

Aug 20, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Occuplay Inc

  • Occupational Therapist
  • Ponte Vedra Beach, FL
  • NPI 1336131788
  NPD (past) Authorized official

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

{
    "created_epoch": "1124496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427040872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOUGANVILLA DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823676",
            "telephone_number": "904-280-5336",
            "fax_number": "904-373-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 PALM VALLEY RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823200",
            "telephone_number": "904-382-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT1278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880751500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Mallis, MSW, LCSW, QS
• Mandala Family Wellness LLC
• Mandala Family Wellness LLC
• Caitlin Austin Mangum
• Marilyn Bosworth, SLP
• Carly Brooke Mariotti
• William Francis Maroney, DDS
• Shelley Marsh, SLP
• Timothy Joseph Marten Jr., DPT
• Ashley Lynn Martin, APRN

• Occupational Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Occupational Therapist in Florida

• 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.

Verify at the official NPI Registry.