Individual provider Active NPI

Nataliah Marshall, MS, OTR/L

  • Occupational Therapist
  • Wilmington, NC
National Provider Identifier
1437829074
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14231 Issued in NC
Practice address
1911 S 17TH St Ste 100
Wilmington, NC 28401-6663
Phone
(910) 313-2111
Fax
(910) 313-2119
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 14231 NC Primary

Addresses

Primary practice location

1911 S 17TH St Ste 100
Wilmington, NC 28401-6663

Mailing address

1911 S 17TH St Ste 100
Wilmington, NC 28401-6663
Phone (910) 313-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002040 NC Practitioner - Occupational Therapist in Private Practice 8527412618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14231NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Therapy Solutions, PLLC Occupational Therapist CurrentSince Jul 11, 2023 Accepting new patients
Creative Hands Occupational Therapy Past Accepting new patients

Locations

9020 Senca Dr
Ste 220
Wilmington, NC 28411
Phone (910) 264-9317

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1437829074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016663",
            "telephone_number": "910-313-2111",
            "fax_number": "910-313-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016663",
            "telephone_number": "910-313-2111",
            "fax_number": "910-313-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NATALIAH",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.