Individual provider Active NPI

Caryn Suzanne Marr, OTR/L

  • Occupational Therapist
  • East Syracuse, NY
National Provider Identifier
1558657338
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013830-1 Issued in NY
Practice address
303 Roby Ave
East Syracuse, NY 13057-1800
Phone
(315) 434-3805
NPI assigned
Jun 21, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 013830-1 NY Primary

Addresses

Primary practice location

303 Roby Ave
East Syracuse, NY 13057-1800

Mailing address

115 Center St
Fayetteville, NY 13066-1405
Phone (315) 263-0915

Other practice location 1

5820 Heritage Landing Dr
East Syracuse, NY 13057-9378
Phone (315) 701-1107

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
013830-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558657338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CENTER ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661405",
            "telephone_number": "315-263-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ROBY AVE",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571800",
            "telephone_number": "315-434-3805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 Heritage Landing Dr",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579378",
            "country_code": "US",
            "telephone_number": "315-701-1107",
            "fax_number": "315-701-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARR",
        "first_name": "CARYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013830-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.