Individual provider Active NPI

Marissa Warren, OTRL

  • Occupational Therapist
  • Cedar Park, TX
National Provider Identifier
1558099341
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122905 Issued in TX
Practice address
1301 Medical Pkwy Ste 130
Cedar Park, TX 78613-2529
Phone
(512) 248-2422
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 122905 TX
Occupational Therapist 225X00000X 122905 TX Primary

Addresses

Primary practice location

1301 Medical Pkwy Ste 130
Cedar Park, TX 78613-2529

Mailing address

9101 Burnet Rd Ste 103
Austin, TX 78758-5260
Phone (512) 248-2422

Other practice location 1

9101 Burnet Rd Ste 103
Austin, TX 78758-5260
Phone (512) 248-2422

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
122905TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Tesoros Therapy Services, L.L.P. Occupational Therapist PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1558099341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585260",
            "telephone_number": "512-248-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL PKWY STE 130",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132529",
            "telephone_number": "512-248-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 Burnet Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585260",
            "country_code": "US",
            "telephone_number": "512-248-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MARISSA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "122905",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.