Active NPI
Marianne Moore Parker
- Occupational Therapist
- Martinez, GA
National Provider Identifier
1841748761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006558
- Practice address
- 3628 Old Petersburg Rd
Martinez, GA 30907 - Phone
- (706) 364-3470
- NPI assigned
- Sep 20, 2016
- 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 | OT006558 | GA | Primary |
Addresses
Primary practice location
3628 Old Petersburg Rd
Martinez, GA 30907
Mailing address
15126 Dunbarton Blvd
Barnwell, SC 29812-7704
Phone (803) 671-2902
Other names 1
- Marianne Denise Moore
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 |
|---|---|---|---|
| OT006558 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensational Kids Pediatric Rehabilitation & Counseling, Inc. | 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.
-
- Clinic/Center
- Martinez, GA
- NPI 1962676502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1841748761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15126 DUNBARTON BLVD",
"city": "BARNWELL",
"state": "SC",
"postal_code": "298127704",
"telephone_number": "803-671-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 OLD PETERSBURG RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30907",
"telephone_number": "706-364-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MARIANNE",
"middle_name": "MOORE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "MOORE",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Martinez, GA
- Allison Rogers Paine, MD
- Palladium Hospice and Palliative Care, LLC
- Douglas Starling Panye, PH.D
- Richard Clyde Parish, PHARMD
- Heather Parker, NCTMB, LMT
- Ashley Parsons, LMT
- Pathway to Wellness Center PC
- Lisa Ann Patton, FNP
- Paul Napier Behavioral Consultation Services-Augusta, LLC
- Ewa Halina Paziak, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.