Active NPI
Mary E Marshall, OT
- Occupational Therapist
- Greeley, CO
National Provider Identifier
1528186806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 239129
- Practice address
- 5881 W 16TH St
Greeley, CO 80634-2910 - Phone
- (970) 313-2775
- Fax
- (970) 350-2777
- NPI assigned
- Mar 26, 2007
- 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 | 239129 | CO | Primary |
Addresses
Primary practice location
5881 W 16TH St
Greeley, CO 80634-2910
Mailing address
5881 W 16TH St
Greeley, CO 80634-2910
Phone (970) 313-2775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51558271 | Medicaid | CO | |
| P00944887 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239129 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1528186806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5881 W 16TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342910",
"telephone_number": "970-313-2775",
"fax_number": "970-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5881 W 16TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342910",
"telephone_number": "970-313-2775",
"fax_number": "970-350-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "239129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51558271",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD CARRIER PTAN",
"identifier": "P00944887",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.