Active NPI
Marcella Peters
- Occupational Therapist
- Pompano Beach, FL
National Provider Identifier
1689775652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT8435
- Practice address
- 1940 SE 2ND St
Pompano Beach, FL 33060-7522 - Phone
- (954) 943-9589
- Fax
- (954) 943-4115
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OT8435 | FL | Primary |
Addresses
Primary practice location
1940 SE 2ND St
Pompano Beach, FL 33060-7522
Mailing address
1524 Seabreeze Blvd
Fort Lauderdale, FL 33316-3214
Phone (954) 802-1539
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 |
|---|---|---|---|
| OT8435 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689775652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 SEABREEZE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333163214",
"telephone_number": "954-802-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 SE 2ND ST",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607522",
"telephone_number": "954-943-9589",
"fax_number": "954-943-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MARCELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT8435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
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.