Marissa L. Shopmyer, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

015666 Issued in NY

Practice address

1603 Court St
Syracuse, NY 13208-1834

Phone

(315) 455-7591

Fax

(315) 455-2446

NPI assigned

May 11, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1497989099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2002",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574502",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 COURT ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132081834",
            "telephone_number": "315-455-7591",
            "fax_number": "315-455-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPMYER",
        "first_name": "MARISSA",
        "middle_name": "L.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "015666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osman Shoble
• Lawrence Raymond Shoemaker, MD
• Mac Shol
• Makandiwana Shoniwa, MD
• Timothy R Shope, MD
• Melissa A Short, RRA
• Erin Shortslef, RN
• Stacy Shourt, PNP
• Robert J. Shprintzen, PH.D.
• Mohammed JM Shqirat, MD PHD

• Occupational Therapist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.