Active NPI
Marleen Grace Herro, OTR/L,CHT,CLT-LANA
- Hand Occupational Therapist
- Marietta, GA
National Provider Identifier
1891972840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT005370
- Practice address
- 1810 White Cir
Marietta, GA 30066-5835 - Phone
- (770) 426-9945
- NPI assigned
- Jan 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 0798 | AZ | |
| Hand Occupational Therapist | 225XH1200X | OT005370 | GA | Primary |
Addresses
Primary practice location
1810 White Cir
Marietta, GA 30066-5835
Mailing address
4918 Payson Way SE
Smyrna, GA 30080-7379
Phone (480) 695-9493
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 |
|---|---|---|---|
| 0798 | AZ | MD | Hand Occupational Therapist |
| OT005370 | GA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1891972840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4918 PAYSON WAY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300807379",
"telephone_number": "480-695-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 WHITE CIR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665835",
"telephone_number": "770-426-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRO",
"first_name": "MARLEEN",
"middle_name": "GRACE",
"credential": "OTR/L,CHT,CLT-LANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "AZ",
"license": "0798",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "GA",
"license": "OT005370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.