Marley Nissenbaum, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6902 Issued in CT

Practice address

140 West Rd Ste B
Ellington, CT 06029-5710

Phone

(860) 872-7500

Fax

(860) 872-7501

NPI assigned

Aug 6, 2025

Last updated

Jun 17, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Services Limited PartnershipGroup PAC ID 8426428129, 49 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.

• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  Medicare reassignment Care Compare group NPD
• Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
  • NPI 1104867951
  NPD

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1487539995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPKE STE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664834",
            "telephone_number": "860-872-7500",
            "fax_number": "860-872-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WEST RD STE B",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060295710",
            "telephone_number": "860-872-7500",
            "fax_number": "860-872-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506A Allen St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011181817",
            "country_code": "US",
            "telephone_number": "413-783-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISSENBAUM",
        "first_name": "MARLEY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "OTL36304",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "6902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Story Counseling LLC
• Kaitlin Marie Myska, LMFT
• Ashley Elizabeth Nadeau, LMFT
• Abdurrahman Nalbant, PT
• Karl Stewart Neubecker, M.M.SC., PA-C
• Sean Noel, DC
• Julia Braisted Page
• Flordeliza Palazzolo, MD
• Matthew Lanz Palozej, OD
• Robert R Palozej, O.D.

• Occupational Therapist in Ellington, CT
• Providers in Ellington, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.