Marissa Ann Brackbill, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC018848 Issued in PA

Practice address

1497 S Queen St
York, PA 17403-3852

Phone

(717) 430-8896

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connections - Early Intervention and Supports

  • Early Intervention Provider Agency
  • York, PA
  • NPI 1528569548
  NPD

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1932816931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ELSER HILL RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439777",
            "telephone_number": "717-575-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033852",
            "telephone_number": "717-430-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKBILL",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC018848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Boyer, LMT
• Stephanie Elizabeth Boyer, CRNP
• James Michael Boyle III, DDS
• Andrey Bozhko, CRNP
• Kristin Bracey
• Kylie M Bradley-Moreschi
• Craig A Bradley, DO
• Dakota C Bradley
• Rachel Georgeann Bradley, LCSW
• Trevor John William Bradshaw, DPT

• Occupational Therapist in York, PA
• Providers in York, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.