Active NPI
Kathy A Marks, OTR/L
- Occupational Therapist
- Oakland, CA
National Provider Identifier
1497084446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10740
- Practice address
- 3772 Canon Ave
Oakland, CA 94602-2220 - Phone
- (510) 530-1018
- Fax
- (510) 530-1091
- NPI assigned
- Dec 21, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10740 | CA | Primary |
Addresses
Primary practice location
3772 Canon Ave
Oakland, CA 94602-2220
Mailing address
3772 Canon Ave
Oakland, CA 94602-2220
Phone (510) 530-1018
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 |
|---|---|---|---|
| OT10740 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1497084446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3772 CANON AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022220",
"telephone_number": "510-530-1018",
"fax_number": "510-530-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3772 CANON AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022220",
"telephone_number": "510-530-1018",
"fax_number": "510-530-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "KATHY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT10740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.