Active NPI
Paulette Marino, OCCUPATIONAL THERAPI
- Occupational Therapist
- Glendale, AZ
National Provider Identifier
1669696142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2396
- Practice address
- 19050 N 47TH LN
Glendale, AZ 85308-4834 - Phone
- (623) 628-1184
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2396 | AZ | Primary |
Addresses
Primary practice location
19050 N 47TH LN
Glendale, AZ 85308-4834
Mailing address
19050 N 47TH LN
Glendale, AZ 85308-4834
Phone (623) 628-1184
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2396 | AZ | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669696142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19050 N 47TH LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084834",
"telephone_number": "623-628-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19050 N 47TH LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084834",
"telephone_number": "623-628-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "PAULETTE",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "2396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
- Maricopa County Department of Public Health
- Maricopa County Special Health Care District
- Maricopa Surgical Associates, Inc
- Allison Mae Marin, BSN, RN
- Vanessa Coelho Marinho, D.D.S., M.S.
- Thomas Carmine Vincent Marino, PA-C
- Mariposa Hospice LLC
- Mark a. Gaona, D.D.S., P.C.
- Mark B Hughes DDS PC
- Mark Jensen DDS
Sources for this page
- 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.