Alyssa R Maron

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119007820 Issued in VA

Practice address

20675 Balinski Dr
Clinton Township, MI 48038-5611

Phone

(586) 942-2910

NPI assigned

Aug 28, 2018

Last updated

Aug 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1629559471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20675 BALINSKI DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385611",
            "telephone_number": "586-942-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20675 BALINSKI DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385611",
            "telephone_number": "586-942-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARON",
        "first_name": "ALYSSA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005489",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "119263",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119007820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hekuran Marevci, MD
• Bitool Marinuzzi, NP
• Mark D. Berman, D.D.S.
• Mark Denison PHD, PC, Inc
• Emily Markov
• Candace Nat'E Marshall, LLBSW
• Brooke Marie Marsrow
• Jaclynne Ann Martin, LMSW
• Torre Vancha Martin, ADULT FOSTER CARE
• Ligia Martinescul, CNP

• Occupational Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.