Active NPI
Marion Martin
- Developmental Therapist
- North Quincy, MA
National Provider Identifier
1932940715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 16 Moon Island Rd
North Quincy, MA 02171-1034 - Phone
- (617) 453-9047
- NPI assigned
- Jun 4, 2024
- Last updated
- Jun 4, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
16 Moon Island Rd
North Quincy, MA 02171-1034
Mailing address
28 Upland Rd
Plympton, MA 02367-1603
Phone (781) 422-4497
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1932940715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 UPLAND RD",
"city": "PLYMPTON",
"state": "MA",
"postal_code": "023671603",
"telephone_number": "781-422-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MOON ISLAND RD",
"city": "NORTH QUINCY",
"state": "MA",
"postal_code": "021711034",
"telephone_number": "617-453-9047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARION",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Quincy, MA
- Sangwon Lim
- Abigail Benson Lively, MS, RD, CSSD, LD
- Manet Community Health Center, Inc.
- Manet Community Health Center, Inc. (Manet Community Health Center, Inc. at North Quincy)
- Manet Community Health Center, Inc. (Manet Pharmacy)
- Jennifer McCray, CADC
- Mae Elisabeth McLoughlin, PA
- Hiromichi Miyashita, M.D.
- Jennifer Marie Murphy, PT
- Norman a. Wortzman DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.