Elisa Marks, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2632 Issued in CA

Practice address

1811 Wilshire Blvd
Suite 201
Santa Monica, CA 90403-5651

Phone

(310) 829-3320

Fax

(310) 829-3305

NPI assigned

Mar 19, 2007

Last updated

Jan 29, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Tufts University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Physical Therapy and Wellness PCGroup PAC ID 7416243662, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Matrix Physical Therapy and Wellness, PC

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
  • NPI 1790238418

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Rehabnet Outpatient Center

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1497810634
  NPD (past)
• Rehabnet Outpatient Center

  • Durable Medical Equipment & Medical Supplies
  • Santa Monica, CA
  • NPI 1699830851
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1437273703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CALIFORNIA AVE APT 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034181",
            "telephone_number": "310-394-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WILSHIRE BLVD",
            "address_2": "SUITE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035651",
            "telephone_number": "310-829-3320",
            "fax_number": "310-829-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "ELISA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Nachman MD a Proffesional Corporation
• Mark S Weintraub
• Mark S. Wallen, D.P.M., Inc.
• Mark Youssef a Medical Corporation
• Terry Marks-Tarlow, PH.D.
• Marksherm, Inc (Crescent Bay Convalescent Hospital)
• William David Marley, EMT
• Alexander Drew Maroshek, DPM
• Lily Maryam Marouf, M.D.
• Christopher Marquart

• Occupational Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.