Marlo Ann Stuart, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056004789 Issued in IL

Practice address

400 S Station Rd
Glen Carbon, IL 62034-2743

Phone

(618) 205-4631

NPI assigned

Sep 28, 2020

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

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": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1639786247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CLUB GROUNDS NORTH DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630334111",
            "telephone_number": "314-608-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S STATION RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342743",
            "telephone_number": "618-205-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "MARLO",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056004789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Ryan Stewart, D.M.D.
• Charles Wayne Stocker, M ED
• Brian Glen Storey, D.MIN.
• Matthew John Strazewski, D.C.
• David Harold Strickfaden, ATCL
• Melissa Eileen Suermann, COTA/L
• Andrea Lee Sullivan, DMD
• Kelsey Sullivan, CCC-SLP
• Superior Chiropractic & Rehab
• Laura Szczepan

• Occupational Therapist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.