Marno Kay Simon, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102329 Issued in MN

Practice address

4266 West Broadway Avenue
Robbinsdale, MN 55422

Phone

(763) 971-8391

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marno Kay Ryan Former name

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639386113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 WEST BROADWAY AVENUE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-971-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 WEST BROADWAY AVENUE",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-971-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MARNO",
        "middle_name": "KAY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNO",
            "last_name": "RYAN",
            "middle_name": "KAY",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mubashir Sheriff, DMD
• Kelsey Sherwood, PA-C
• Mary Shields, NP
• Brennan Joseph Shutt, D.O.
• Allyson C Sima, PT
• Neil McDevitt Skemp, M.D.
• Lisa Dawn Skinner, MD
• Anne Slanina, PSYD, LP
• Cynthia J. Sly, ANP
• Melanie Smalley

• Occupational Therapist in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.