Marissa L Lewis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3080 Issued in MA

Practice address

444 Washington St
Suite 401
Woburn, MA 01801-1046

Phone

(781) 937-9777

NPI assigned

Mar 6, 2009

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

State licenses

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1811138647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 E 6TH ST",
            "address_2": "APT #22",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021274372",
            "telephone_number": "617-359-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WASHINGTON ST",
            "address_2": "SUITE 401",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011046",
            "telephone_number": "781-937-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARISSA",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MA",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "161216796",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Alexander Levitts, PT
• Martin Gonzales Lewerk, LICSW
• Elaine Lewin, PT
• Lewis Physical Therapy PLLC
• Elizabeth Lewis, PT, OCS
• Tarajean Lewis, CNP
• Yan Li, O.D.
• Ashley Liberus
• Mara Elizabeth Lichoulas, ACUPUNCTURIST
• Lifeline Ambulance Service, LLC

• Occupational Therapy Assistant in Woburn, MA
• Providers in Woburn, MA by specialty
• Occupational Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.