Marcelle Emily Walker, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00973100 Issued in NJ

Practice address

220 Livingston St Ste 112
Northvale, NJ 07647-1739

Phone

(201) 564-7515

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dynamic Physical Therapy and Sports Rehabilitations

  • Physical Therapy Clinic/Center
  • Northvale, NJ
  • NPI 1891017034
  NPD
• Dynamic Physical Therapy & Sports Clinic

  • Physical Therapist
  • Union City, NJ
  • NPI 1902267263
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1750968426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GRENADA PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424304",
            "telephone_number": "973-699-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LIVINGSTON ST STE 112",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471739",
            "telephone_number": "201-564-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 39th St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070875367",
            "country_code": "US",
            "telephone_number": "201-472-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARCELLE",
        "middle_name": "EMILY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00973100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dynamicmarcellewalker@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 Livingston St Ste 112",
            "city": "Northvale",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076471739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie M Thompson, OT
• Tier 1 Direct Physical Therapy LLC
• Brittany Tomasi
• Alexander Tomlinson, DPT
• Torque Rehab and Performance LLC
• Bobbie-Angela Wong
• Gerald Wilzon Quan Wong, PT
• Leah Woods-Bannan
• Arielle Wortzel, LSW
• David Yoon

• Occupational Therapist in Northvale, NJ
• Providers in Northvale, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.