Active NPI
Marla Joy Gordon, OT
- Neurorehabilitation Occupational Therapist
- Akron, OH
National Provider Identifier
1437376837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 074939
- Practice address
- 130 W Exchange St
Akron, OH 44302-1701 - Phone
- (330) 376-0334
- Fax
- (330) 376-1599
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 074939 | OH | Primary |
Addresses
Primary practice location
130 W Exchange St
Akron, OH 44302-1701
Mailing address
2220 Liberty St
Cuyahoga Falls, OH 44221-3492
Phone (330) 929-1814
Other names 1
- Marla Heckendorn
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074939 | OH | MD | Neurorehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology and Neuroscience Associates, Inc. | 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.
-
- Neurology Physician
- Akron, OH
- NPI 1184675720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1437376837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 LIBERTY ST",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213492",
"telephone_number": "330-929-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W EXCHANGE ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443021701",
"telephone_number": "330-376-0334",
"fax_number": "330-376-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MARLA",
"middle_name": "JOY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "OH",
"license": "074939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLA",
"last_name": "HECKENDORN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.