Marissa Pearl Mabry Simpson, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

9730 Dorchester Rd Unit 206
Summerville, SC 29485-9034

Phone

(843) 594-3032

Fax

(843) 285-5921

NPI assigned

Jun 4, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hears 2 You LLC

  • Audiologist
  • Summerville, SC
  • NPI 1013728716
  NPD
• Palmetto Hearing Care Center, LLC

  dba Palmetto Speech and Occupational Therapy

  • Speech-Language Pathologist
  • Summerville, SC
  • NPI 1750579561
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1649847062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51025",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294851025",
            "telephone_number": "843-594-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 DORCHESTER RD UNIT 206",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859034",
            "telephone_number": "843-594-3032",
            "fax_number": "843-285-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY SIMPSON",
        "first_name": "MARISSA",
        "middle_name": "PEARL",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.palmettospot.com",
            "affiliation": "N",
            "address_1": "9730 Dorchester Rd Unit 206",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294859034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Rose Lybrand, LPC
• Michelle Andrea Lyles, MSN, APRN, FNP-C
• Lymin Inc (Miracle Ear)
• Brittany Elizabeth Lyons, DO
• Colleen D Lyons, FNP
• Valerie Ann Mabry
• Patrick Ryan Macconnell, OTD, MS, OTR/L, AT
• Randall Mackendrick, M.ED., LPC
• Bernadette Payne Macleod, CPNP
• Patricia F. Maderson, LISW

• Occupational Therapy Assistant in Summerville, SC
• Providers in Summerville, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.