Active NPI
Marissa Islas, COTA/L
- Occupational Therapy Assistant
- Big Spring, TX
National Provider Identifier
1609528124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 217067
- Practice address
- 1901 N US Highway 87
Big Spring, TX 79720-0283 - Phone
- (432) 267-8216
- NPI assigned
- Jan 25, 2022
- 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 Therapy Assistant | 224Z00000X | 217067 | TX | Primary |
Addresses
Primary practice location
1901 N US Highway 87
Big Spring, TX 79720-0283
Mailing address
3228 Duke Ave
Big Spring, TX 79720-3517
Phone (432) 935-3748
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 |
|---|---|---|---|
| 217067 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1609528124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 DUKE AVE",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797203517",
"telephone_number": "432-935-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N US HIGHWAY 87",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797200283",
"telephone_number": "432-267-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAS",
"first_name": "MARISSA",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "217067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Spring, TX
- Adam Hyatt, PTA
- Uju L Ifeanyi-Chukwu
- Integracare of Abilene, LLC (Arcadia Home Care & Staffing)
- Interim Healthcare of West Texas LLC (Interim Healthcare of Big Spring)
- Joshua Phillip Islas, PHARM.D.
- Joel William Jackson, PHARMACIST
- Jody Reid Enterprises, PA (Back In Motion Chiropractic Center)
- Brandi Leigh Jones, RN
- Deborah Boren Jones, PHYSICAL THERAPIST
- Russell W Jones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.