Active NPI
Marisa Otto, M.S.
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1932473915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 016400
- Practice address
- 100 Noll St
Brooklyn, NY 11206-4723 - Phone
- (718) 821-4823
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 016400 | NY | Primary |
Addresses
Primary practice location
100 Noll St
Brooklyn, NY 11206-4723
Mailing address
26 Cliff Rd
Merrick, NY 11566-1526
Phone (516) 644-3947
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1932473915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CLIFF RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115661526",
"telephone_number": "516-644-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NOLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064723",
"telephone_number": "718-821-4823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "MARISA",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "016400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
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.