Individual provider Active NPI

Marianne Yolanda Schenk, OT/L, SWC

  • Feeding, Eating & Swallowing Occupational Therapist
  • Murrieta, CA
National Provider Identifier
1598019291
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational TherapistTaxonomy code 225XF0002X
License
OT4123 Issued in CA
Practice address
41421 Date St Ste 101
Murrieta, CA 92562-7079
Phone
(855) 454-3784
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT4123 CA Primary

Addresses

Primary practice location

41421 Date St Ste 101
Murrieta, CA 92562-7079

Mailing address

41421 Date St Ste 101
Murrieta, CA 92562-7079
Phone (562) 693-5449

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
OT4123CAMDFeeding, Eating & Swallowing Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Littlefield Physical Therapy, Inc. CurrentSince Dec 22, 2024 Accepting new patients
Littlefield Physical Therapy, Inc. PastSince Dec 22, 2024 Accepting new patients

Locations

41421 Date St
Ste 101
Murrieta, CA 92562
Phone (855) 454-3784

Organizations & group practices 2

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1598019291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41421 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627079",
            "telephone_number": "562-693-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41421 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627079",
            "telephone_number": "855-454-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "MARIANNE",
        "middle_name": "YOLANDA",
        "name_prefix": "Ms.",
        "credential": "OT/L, SWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.