Active NPI
Susanna Marzella
- Occupational Therapist
- Olympia, WA
National Provider Identifier
1851645451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60231421
- Practice address
- 1113 Legion Way SE
Olympia, WA 98501-1652 - Phone
- (360) 596-6100
- NPI assigned
- Nov 4, 2012
- 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 | OT 60231421 | WA | Primary |
Addresses
Primary practice location
1113 Legion Way SE
Olympia, WA 98501-1652
Mailing address
1113 Legion Way SE
Olympia, WA 98501-1652
Phone (360) 596-6100
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 |
|---|---|---|---|
| OT 60231421 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1851645451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011652",
"telephone_number": "360-596-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011652",
"telephone_number": "360-596-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARZELLA",
"first_name": "SUSANNA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-04",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60231421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.