Active NPI
Marianne Sioned Philipps, OTD
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1841908068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23506
- Practice address
- 4309 NW 12TH Ter
Gainesville, FL 32609-1810 - Phone
- (785) 770-5026
- NPI assigned
- Nov 7, 2022
- 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 | 23506 | FL | Primary |
Addresses
Primary practice location
4309 NW 12TH Ter
Gainesville, FL 32609-1810
Mailing address
4309 NW 12TH Ter
Gainesville, FL 32609-1810
Phone (785) 770-5026
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 |
|---|---|---|---|
| 23506 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1841908068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 NW 12TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326091810",
"telephone_number": "785-770-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 NW 12TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326091810",
"telephone_number": "785-770-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPPS",
"first_name": "MARIANNE",
"middle_name": "SIONED",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "23506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.