Marissa Ann Dastice, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2210 Fountain Square Dr
Lombard, IL 60148-5609

Phone

(630) 953-8990

NPI assigned

Dec 19, 2018

Last updated

Dec 19, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102

  Occupational Therapist

  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1750853560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21W005 HAMPTON LN",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FOUNTAIN SQUARE DR",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485609",
            "telephone_number": "630-953-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTICE",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Dallas, LPT
• Emily A Dalton
• J. Michael Daly, LCPC
• Moira Ann Clair Dammrich, PSY.D.
• Dando la Mano NFP
• Elizabeth J Daum, PT
• Kristen E Davia
• David a. Wenz, D.D.S., LTD.
• Wesley Davis
• Abbielyn Dawson

• Occupational Therapist in Lombard, IL
• Providers in Lombard, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.