Marilyn Nottorf, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

108877 Issued in TX

Practice address

2060 E Continental Blvd
Southlake, TX 76092-9768

Phone

(817) 421-2331

Fax

(817) 421-2418

NPI assigned

Mar 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Applied Therapeutic Sciences, Inc.

  • Rehabilitation Clinic/Center
  • Southlake, TX
  • NPI 1265580807
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942332762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 TURTLE RIVER CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373701",
            "telephone_number": "817-427-9388",
            "fax_number": "817-421-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E CONTINENTAL BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929768",
            "telephone_number": "817-421-2331",
            "fax_number": "817-421-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTTORF",
        "first_name": "MARILYN",
        "name_prefix": "Ms.",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT108877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Texas Pain Institute
• North Texas Plastic Surgery
• North Tower Care Group, LP (The Landing at Watermere)
• Angela Lyn Northcutt, CCC-SLP
• Lisa Lynn Northcutt, RN, CRNFA
• Matthew Novak, M.D.
• Ryan Matthew Novak, RBT
• Janet Nowell, RBT
• Leatha Jo Nowlan, LPC
• Adriane Renee Nowlin, LMT

• Occupational Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.