Individual provider Active NPI

Mara Mervius, MSORT/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1932295037
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
013454-1 Issued in NY
Practice address
111 East 59TH Street
New York, NY 10022-6502
Phone
(917) 474-1172
NPI assigned
Oct 5, 2006
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 013454-1 NY Primary

Addresses

Primary practice location

111 East 59TH Street
New York, NY 10022-6502

Mailing address

111 East 59TH Street
New York, NY 10022-6502
Phone (917) 474-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000633 NY Practitioner - Occupational Therapist in Private Practice 4688764657 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Clinical Care PLLCGroup PAC ID 5799083655, 10 clinicians

Practice addresses (Care Compare)

178 Morrison Ave
Staten Island, NY 10310-2835
Phone (718) 916-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013454-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential OT, PT, SLP & Psychology Services, PLLC CurrentSince Jun 1, 2019 Accepting new patients
Superior Clinical Care PLLC CurrentSince Apr 26, 2020 Accepting new patients
Complete SLP, OT, PT & Psychology Services, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jun 21, 2022 Accepting new patients
Choice Occupational Therapy Care, PLLC Occupational Therapist CurrentSince Apr 27, 2025 Accepting new patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Jan 15, 2020 Accepting new patients
Therapeutic Success LLC CurrentSince Jul 27, 2020 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Nov 3, 2017 Accepting new patients
Essential Therapy Services of NJ Occupational Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1932295037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EAST 59TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226502",
            "telephone_number": "917-474-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST 59TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226502",
            "telephone_number": "917-474-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVIUS",
        "first_name": "MARA",
        "name_prefix": "Mrs.",
        "credential": "MSORT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013454-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.