Active NPI
Marie Piscitelli Enders, ORTL
- Occupational Therapist
- Anchorage, AK
National Provider Identifier
1831253541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 769
- Practice address
- 300 E Dimond Blvd
Suite #12
Anchorage, AK 99515 - Phone
- (907) 341-7722
- Fax
- (907) 341-7763
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 769 | AK | Primary |
Addresses
Primary practice location
300 E Dimond Blvd
Suite #12
Anchorage, AK 99515
Mailing address
300 E Dimond Blvd
Suite #12
Anchorage, AK 99515
Phone (907) 341-7722
Other names 1
- Miss Marie Piscitelli
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
| License | State | Type | Specialty |
|---|---|---|---|
| 769 | AK | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831253541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E DIMOND BLVD",
"address_2": "SUITE #12",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-341-7722",
"fax_number": "907-341-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E DIMOND BLVD",
"address_2": "SUITE #12",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99515",
"telephone_number": "907-341-7722",
"fax_number": "907-341-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISCITELLI ENDERS",
"first_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ORTL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "PISCITELLI",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
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.