Active NPI
Zelda O'Dette Marshall, OTR/L
- Occupational Therapist
- Farmingdale, NY
National Provider Identifier
1578814646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 005204
- Practice address
- 2 Block Ter
Farmingdale, NY 11735-6012 - Phone
- (516) 652-2668
- NPI assigned
- Sep 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 005204 | NY | Primary |
Addresses
Primary practice location
2 Block Ter
Farmingdale, NY 11735-6012
Mailing address
2 Block Ter
Farmingdale, NY 11735-6012
Phone (516) 652-2668
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005204 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1578814646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BLOCK TER",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117356012",
"telephone_number": "516-652-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BLOCK TER",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117356012",
"telephone_number": "516-652-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ZELDA",
"middle_name": "O'DETTE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "005204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.