Katy Marconett

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT011840

Practice address

5954 Longford Rd
Huber Heights, OH 45424-2998

Phone

(937) 237-6300

NPI assigned

Oct 4, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Huber Heights City School District

  • Local Education Agency (LEA)
  • Huber Heights, OH
  • NPI 1508015488
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1730638669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W ALEX BELL RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454591246",
            "telephone_number": "937-681-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5954 LONGFORD RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242998",
            "telephone_number": "937-237-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONETT",
        "first_name": "KATY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "OT011840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406425",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Machuca Medical LLC
• Jennifer Lynn Machuca, M.D.
• Emer J Makapugay, DDS
• Malissa Tracy, LMT
• Reynaldo G. Malonjao, LDO
• Heather Marlow, CPT
• Maxine Mary Marrero
• Brian Michael Martin, LMT
• Michael Masin
• Alexander Cole Matthews, DPT

• Occupational Therapist in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.