Abbey Marinucci

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2047 Issued in ND

Practice address

3001 11TH St S
Fargo, ND 58103-6048

Phone

(701) 356-0062

NPI assigned

Sep 7, 2023

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

Enrolled in ND

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Myna Therapy Services PLLCGroup PAC ID 8022499888, 10 clinicians

Practice addresses (Care Compare)

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.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD
• Beyond Boundaries Speech Language Therapy, Inc.

  dba Beyond Boundaries Therapy & Wellness

  • Speech-Language Pathologist
  • Fargo, ND
  • NPI 1790999605
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1841076569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 11TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 11TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036048",
            "telephone_number": "701-356-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINUCCI",
        "first_name": "ABBEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Marcus, ATC
• Laura Elizabeth Marcuson
• Jennifer L Marhula, CDE, LRD
• Antonio Eduardo Marinos, M.D.
• Sarah R Marinov, APRN/CNP
• Joseph Thomas Marion, M.D.
• Mariela Rosa Marius
• Mark E Domaas LLC
• Mark R Sheils DDS PC
• Mark Rohrer LLC

• Occupational Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.