Individual provider Active NPI

Marissa Joelle Schick

  • Occupational Therapist
  • Lakewood Ranch, FL
National Provider Identifier
1578293866
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23244 Issued in FL
Practice address
7365 Merchant CT Ste 3
Lakewood Ranch, FL 34240-8446
Phone
(941) 702-2035
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 OT23244 FL Primary

Addresses

Primary practice location

7365 Merchant CT Ste 3
Lakewood Ranch, FL 34240-8446

Mailing address

1028 Rainbow CT
Bradenton, FL 34212-5246
Phone (815) 557-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803002468 FL Practitioner - Occupational Therapist in Private Practice 7416339734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soul to Soul Yoga, LLC Occupational Therapist CurrentSince Jul 7, 2022 Accepting new patients

Locations

7365 Merchant Ct
Ste 3
Lakewood Ranch, FL 34240
Phone (941) 702-2035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1578293866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 RAINBOW CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125246",
            "telephone_number": "815-557-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 MERCHANT CT STE 3",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408446",
            "telephone_number": "941-702-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICK",
        "first_name": "MARISSA",
        "middle_name": "JOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.