Active NPI
Mildred Enid Marrero, OTR
- Occupational Therapist
- Rockledge, FL
National Provider Identifier
1710829031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT11933
- Practice address
- 587 Barton Blvd
Rockledge, FL 32955-3145 - Phone
- (321) 632-6300
- NPI assigned
- Apr 7, 2026
- 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 | OT11933 | FL | Primary |
Addresses
Primary practice location
587 Barton Blvd
Rockledge, FL 32955-3145
Mailing address
587 Barton Blvd
Rockledge, FL 32955-3145
Phone (321) 632-6300
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 |
|---|---|---|---|
| OT11933 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1710829031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "587 BARTON BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553145",
"telephone_number": "321-632-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 BARTON BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553145",
"telephone_number": "321-632-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "MILDRED",
"middle_name": "ENID",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-07",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT11933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.