Arlette Mairesse, OT003810

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003810 Issued in GA

Practice address

125 Townpark Dr NW Ste 300
Kennesaw, GA 30144-5812

Phone

(855) 423-6287

Fax

(678) 669-1562

NPI assigned

Feb 7, 2018

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

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 and National Provider Directory roles.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Winder, GA
  • NPI 1831619337

  Occupational Therapist

  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1801395637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445812",
            "telephone_number": "855-423-6287",
            "fax_number": "678-669-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW STE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445812",
            "telephone_number": "855-423-6287",
            "fax_number": "678-669-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIRESSE",
        "first_name": "ARLETTE",
        "credential": "OT003810",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Maggiano
• Carrie Allen Maguire, CPNP, PMHS
• Mai Health Care Solutions Inc.
• Main Street DME, Inc.
• Main Street Pharmacy
• Shibani Maitra
• Mak Anesthesia Georgia, LLC
• Mak Anesthesia Holdings LLC
• Mak Anesthesia, LLC
• Lana Makarenko, MS

• Occupational Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.