Active NPI
Marise Isaac, OTD, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1619702768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 029419
- Practice address
- 3457 Nostrand Ave
Brooklyn, NY 11229-5131 - Phone
- (718) 535-5100
- NPI assigned
- Sep 6, 2024
- 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 | 029419 | NY | Primary |
Addresses
Primary practice location
3457 Nostrand Ave
Brooklyn, NY 11229-5131
Mailing address
3280 Nostrand Ave Apt 511
Brooklyn, NY 11229-3274
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 |
|---|---|---|---|
| 029419 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1619702768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 NOSTRAND AVE APT 511",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112293274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3457 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295131",
"telephone_number": "718-535-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAC",
"first_name": "MARISE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "029419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.