Toni J Marcum, DT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010582 Issued in IL

Practice address

211 E Park Cir
Dickson, TN 37055-2130

Phone

(773) 544-9928

Fax

(815) 531-0043

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Toni J Frech Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beanstalk Therapies LLC

  • Occupational Therapist
  • Dickson, TN
  • NPI 1235681909
  NPD (past) Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1851563589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E PARK CIR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552130",
            "telephone_number": "773-544-9928",
            "fax_number": "815-531-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PARK CIR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552130",
            "telephone_number": "773-544-9928",
            "fax_number": "815-531-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "TONI",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "DT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "FRECH",
            "middle_name": "J",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Malave, MD
• Andrew Carl Mangrum, M.DIV.
• Heather Nicole Mangrum, FNP-C
• Kylie Mangrum, APRN
• Venk Mani, MD
• Austin B Marlow, PA
• Naimisha Marneni, MD
• Megan Martin
• Deeanna Lashay Massie
• William Clayton Masters, PTA

• Occupational Therapist in Dickson, TN
• Providers in Dickson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.