Active NPI
Marjan Maryam Hurd, OTR
- Occupational Therapist
- Avon, IN
National Provider Identifier
1821115262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31003053A
- Practice address
- 1368 Turfway Dr
Avon, IN 46123-8385 - Phone
- (317) 837-2510
- Fax
- (317) 837-2510
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31003053A | IN | Primary |
Addresses
Primary practice location
1368 Turfway Dr
Avon, IN 46123-8385
Mailing address
1368 Turfway Dr
Avon, IN 46123-8385
Phone (317) 837-2510
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31003053A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821115262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1368 TURFWAY DR",
"city": "AVON",
"state": "IN",
"postal_code": "461238385",
"telephone_number": "317-837-2510",
"fax_number": "317-837-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1368 TURFWAY DR",
"city": "AVON",
"state": "IN",
"postal_code": "461238385",
"telephone_number": "317-837-2510",
"fax_number": "317-837-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURD",
"first_name": "MARJAN",
"middle_name": "MARYAM",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003053A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.