Marissa Eva Palmer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004657 Issued in NY

Practice address

6350 Route 22
Plattsburgh, NY 12901-4900

Phone

(518) 566-0207

NPI assigned

Aug 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1518273010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 ROUTE 22",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014900",
            "telephone_number": "518-566-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 ROUTE 22",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014900",
            "telephone_number": "518-566-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MARISSA",
        "middle_name": "EVA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "004657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22196050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W Paepke, OD
• Jessie M Palian, M.A. CCC-SLP
• Christopher Scott Palma, DO
• Brett Palmer, PA-C
• Crystal L Palmer, RPA-C
• Olyvia Palmer, MS, OTR/L
• Vanessa Lynn Palmer
• Pamela a Reinhardt, MD
• Maurice Andre Paquette II, PA-C
• Rebecca Estroff Parad, M.D.

• Occupational Therapist in Plattsburgh, NY
• Providers in Plattsburgh, 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 Aug 28, 2013; 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.