Marchon Brooks, COTA
Individual provider Active NPI Occupational Therapy Assistant · Williamsville, NY
NPI 1639482201 · NPPES record last updated Jul 23, 2010
Key facts
- NPI
- 1639482201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 006307-1 (NY)
- Practice address
- 4444 Bryant Stratton Way
Williamsville, NY 14221-6013 - Phone
- (176) 631-5777
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006307-1 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autistic Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 006307-1 | NY | Yes |
Addresses
Primary practice location
4444 Bryant Stratton Way
Williamsville, NY 14221-6013
Mailing address
4444 Bryant Stratton Way
Williamsville, NY 14221-6013
Phone (176) 631-5777
Other providers in Williamsville, NY
- Carole D Brock
- Ellen E Brody
- Jeffrey H. Brody
- Robert Stuart Bronstein
- Ashley Brooks
- Tracey Ann Brown-Cashdollar
- Alesha Brown
- Amanda Brown
- Brezi Brown
- Erika Lynn Brown
All providers in Williamsville, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.