Active NPI
Marcia Anne Cushman-Perkins, OTR
- Occupational Therapist
- Yreka, CA
National Provider Identifier
1447417977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4615
- Practice address
- 9312 Guys Gulch Rd
Yreka, CA 96097-9731 - Phone
- (530) 598-2310
- Fax
- (530) 436-2340
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4615 | CA | Primary |
Addresses
Primary practice location
9312 Guys Gulch Rd
Yreka, CA 96097-9731
Mailing address
9312 Guys Gulch Rd
Yreka, CA 96097-9731
Phone (530) 598-2310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT3023490 | Other | CA | CA MEDICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4615 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1447417977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9312 GUYS GULCH RD",
"city": "YREKA",
"state": "CA",
"postal_code": "960979731",
"telephone_number": "530-598-2310",
"fax_number": "530-436-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9312 GUYS GULCH RD",
"city": "YREKA",
"state": "CA",
"postal_code": "960979731",
"telephone_number": "530-598-2310",
"fax_number": "530-436-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHMAN-PERKINS",
"first_name": "MARCIA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "4615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL",
"identifier": "CT3023490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.