Active NPI
Marcia Roxanne Fowler, COTA
- Occupational Therapy Assistant
- Astoria, NY
National Provider Identifier
1477725596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 003950-1
- Practice address
- 2534 Steinway St
Astoria, NY 11103-3702 - Phone
- (718) 777-5243
- Fax
- (718) 777-5250
- NPI assigned
- Mar 28, 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 Therapy Assistant | 224Z00000X | 003950-1 | NY | Primary |
Addresses
Primary practice location
2534 Steinway St
Astoria, NY 11103-3702
Mailing address
445 A Pennsylvania Avenue
Brooklyn, NY 11207
Phone (718) 485-2959
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 |
|---|---|---|---|
| 003950-1 | NY | MD | Occupational Therapy Assistant |
| 003950 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients | |
| Welllife Network Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1477725596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 A PENNSYLVANIA AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11207",
"telephone_number": "718-485-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2534 STEINWAY ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033702",
"telephone_number": "718-777-5243",
"fax_number": "718-777-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "MARCIA",
"middle_name": "ROXANNE",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "003950-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.