Individual provider Active NPI

Cynthia Kakuk Marchi, OTR/L

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1518157650
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1738 Issued in NM
Practice address
5201 Roma Ave NE
Albuquerque, NM 87108-1334
Phone
(505) 262-2311
Fax
(505) 262-2426
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1738 NM Primary

Addresses

Primary practice location

5201 Roma Ave NE
Albuquerque, NM 87108-1334

Mailing address

1021 Marquette Ave NE
Albuquerque, NM 87106-4717
Phone (505) 307-0849

Other identifiers 1

IdentifierTypeStateIssuer
1738OtherNMOCCUPATIONL THERAPIST STA

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

LicenseStateTypeSpecialty
1738NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1518157650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MARQUETTE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064717",
            "telephone_number": "505-307-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 ROMA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081334",
            "telephone_number": "505-262-2311",
            "fax_number": "505-262-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHI",
        "first_name": "CYNTHIA",
        "middle_name": "KAKUK",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONL THERAPIST STA",
            "identifier": "1738",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.