Individual provider Active NPI

Marie Zurlo Ganyard, OTR/L

  • Occupational Therapist
  • Oceanside, CA
National Provider Identifier
1770981672
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15972 Issued in CA
Practice address
3355 Mission Ave
Suite 123
Oceanside, CA 92058-1326
Phone
(760) 529-4975
NPI assigned
Dec 9, 2014
Last updated
Jun 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0119006486 VA
Occupational Therapist 225X00000X 15972 CA Primary

Addresses

Primary practice location

3355 Mission Ave
Suite 123
Oceanside, CA 92058-1326

Mailing address

3417 Medici Way Unit 3
Oceanside, CA 92056-8729
Phone (703) 489-0785

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
15972CAMDPsychologist
0119006486VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1770981672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 MEDICI WAY UNIT 3",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920568729",
            "telephone_number": "703-489-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE",
            "address_2": "SUITE 123",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920581326",
            "telephone_number": "760-529-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANYARD",
        "first_name": "MARIE",
        "middle_name": "ZURLO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0119006486",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.