Individual provider Active NPI

Samantha Arianna Loris Marrah, OT

  • Occupational Therapist
  • Monterey, CA
National Provider Identifier
1831798412
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21367 Issued in CA
Practice address
21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone
(831) 264-6040
Fax
(831) 375-8007
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT21367 CA Primary

Addresses

Primary practice location

21 Lower Ragsdale Dr
Monterey, CA 93940-5827

Mailing address

PO Box 3168
Salinas, CA 93912-3168
Phone (831) 264-6040

Other identifiers 1

IdentifierTypeStateIssuer
OT21367OtherCAOCCUPATIONAL THERAPY CERTIFICATION

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
OT21367CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montage Surgical Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1831798412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3168",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939123168",
            "telephone_number": "831-264-6040",
            "fax_number": "831-375-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOWER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405827",
            "telephone_number": "831-264-6040",
            "fax_number": "831-375-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRAH",
        "first_name": "SAMANTHA",
        "middle_name": "ARIANNA LORIS",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT21367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY CERTIFICATION",
            "identifier": "OT21367",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.