Marissa Slimm, M.ED., ATC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

RT005898 Issued in PA

Practice address

100 Green LN
Bristol, PA 19007-5600

Phone

(215) 826-0166

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Darby, PA
  • NPI 1831236637
  NPD (past)
• Reconstructive Orthopaedic Associates II LLC

  dba Rothman Orthopaedics Institute

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861433278
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1881136117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SCHOOLHOUSE TER",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREEN LN",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190075600",
            "telephone_number": "215-826-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIMM",
        "first_name": "MARISSA",
        "credential": "M.ED., ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PA",
            "license": "RT005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Signature Smile Dental LLC
• Silver Lake Center , Inc (Silver Lake Center)
• Carl I Simons, M.D.
• Ranjan K Sinha, M.D.
• Skippack Medical Lab, LLC
• Aubrey Jean D'Onofrio Snyder
• Ryan Christopher Snyder, OTR/L
• Solicitous Home Care LLC
• Joseph Soliman
• Scarlett Patricia Somarriba, DO

• Other Specialist/Technologist in Bristol, PA
• Providers in Bristol, PA by specialty
• Other Specialist/Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.