Marissa Toelle

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5517-27 Issued in WI

Practice address

1505 Butts Ave
Tomah, WI 54660-2405

Phone

(608) 372-3241

NPI assigned

Dec 26, 2018

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

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1558833996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E PARK ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501353",
            "telephone_number": "608-547-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BUTTS AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602405",
            "telephone_number": "608-372-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 E Park St",
            "address_purpose": "LOCATION",
            "city": "New Lisbon",
            "state": "WI",
            "postal_code": "539501353",
            "country_code": "US",
            "telephone_number": "608-547-5516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOELLE",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5517-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Tomah, WI
• Providers in Tomah, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.