Active NPI
Lindsay Marie, OTR/L
- Occupational Therapist
- Medina, OH
National Provider Identifier
1568814499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.008065
- Practice address
- 435 W Liberty St
Medina, OH 44256-2221 - Phone
- (216) 749-6650
- Fax
- (330) 723-8920
- NPI assigned
- Jul 3, 2016
- Last updated
- Mar 3, 2020
- 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 | OT.008065 | OH | Primary |
Addresses
Primary practice location
435 W Liberty St
Medina, OH 44256-2221
Mailing address
5000 Rockside Rd Ste 500
Independence, OH 44131-2178
Phone (216) 459-2846
Other practice location 1
5520 Broadview Rd Frnt
Parma, OH 44134-1606
Phone (216) 749-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14629265 | Other | OH | CAQH |
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 |
|---|---|---|---|
| OT.008065 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace Management Corporation | Occupational Therapist | Past | 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.
-
dba Rehabilitex
- Physical Therapist
- Dublin, OH
- NPI 1043298425
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1568814499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 ROCKSIDE RD STE 500",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312178",
"telephone_number": "216-459-2846",
"fax_number": "216-901-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 W LIBERTY ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562221",
"telephone_number": "216-749-6650",
"fax_number": "330-723-8920"
}
],
"practiceLocations": [
{
"address_1": "5520 Broadview Rd Frnt",
"address_purpose": "LOCATION",
"city": "Parma",
"state": "OH",
"postal_code": "441341606",
"country_code": "US",
"telephone_number": "216-749-6650",
"fax_number": "216-749-1655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIE",
"first_name": "LINDSAY",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.008065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14629265",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.