Marianne Mick, MS/OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201008196 Issued in MI

Practice address

626 Maple Hill Dr
Kalamazoo, MI 49009-1032

Phone

(269) 544-2901

Fax

(269) 341-9919

NPI assigned

Mar 8, 2012

Last updated

Mar 8, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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": "1942574926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MAPLE HILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091032",
            "telephone_number": "269-544-2901",
            "fax_number": "269-341-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAPLE HILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091032",
            "telephone_number": "269-544-2901",
            "fax_number": "269-341-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "MS/OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201008196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Heart Center PC
• Michigan Nursing Home Optical Services
• Michigan Orthopedic Surgery and Rehabilitation, P.C.
• Michigan State University Kalamazoo Center for Medical Studies (Msu/KCMS)
• Michael James Michutka, PHARM.D.
• Melissa Mickelson
• Christopher Middleton
• Jodi Midiri
• Midwestern Pathology, PC
• Gloria Mihelich

• Occupational Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Occupational Therapist in Michigan

• 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.

Verify at the official NPI Registry.