Individual provider Active NPI

Molly Marie Marn, OTD, OTR/L

  • Occupational Therapist
  • Rockford, MI
National Provider Identifier
1427760222
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013192 Issued in MI
Practice address
2885 10 Mile Rd NE
Rockford, MI 49341-9177
Phone
(616) 947-3046
NPI assigned
Dec 23, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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 5201013192 MI Primary

Addresses

Primary practice location

2885 10 Mile Rd NE
Rockford, MI 49341-9177

Mailing address

201 Fulton St W
Grand Rapids, MI 49503-6201
Phone (248) 659-2645

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
5201013192MIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1427760222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FULTON ST W",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036201",
            "telephone_number": "248-659-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 10 MILE RD NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419177",
            "telephone_number": "616-947-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARN",
        "first_name": "MOLLY",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.