Individual provider Active NPI

Marissa Momany, OT

  • Occupational Therapist
  • Tampa, FL
National Provider Identifier
1659136356
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24990 Issued in FL
Practice address
1315 W Fletcher Ave
Tampa, FL 33612-3310
Phone
(813) 269-4879
Fax
(813) 433-5561
NPI assigned
Feb 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT24990 FL Primary

Addresses

Primary practice location

1315 W Fletcher Ave
Tampa, FL 33612-3310

Mailing address

1315 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 269-4879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT24990FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lama Pediatric Therapies Occupational Therapist CurrentSince Feb 25, 2024 Accepting new patients
Lama Pediatric Therapy CurrentSince Feb 25, 2024 Accepting new patients

Locations

1315 W Fletcher Ave
Tampa, FL 33612
Phone (813) 269-4879

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1659136356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-269-4879",
            "fax_number": "813-433-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-269-4879",
            "fax_number": "813-433-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMANY",
        "first_name": "MARISSA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.