Individual provider Active NPI

Jordalis Marte-Aurelien, OTR/L

  • Occupational Therapist
  • Rockville, MD
National Provider Identifier
1942885645
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08964 Issued in MD
Practice address
8010 Gramercy Blvd Apt 364
Rockville, MD 20855-2359
Phone
(862) 203-9322
NPI assigned
Mar 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT010001836 DC
Occupational Therapist 225X00000X 08964 MD Primary

Addresses

Primary practice location

8010 Gramercy Blvd Apt 364
Rockville, MD 20855-2359

Mailing address

8010 Gramercy Blvd
Rockville, MD 20855-2341
Phone (862) 203-9322

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
08964MDMDPharmacist
OT010001836DCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1942885645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 GRAMERCY BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552341",
            "telephone_number": "862-203-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 GRAMERCY BLVD APT 364",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552359",
            "telephone_number": "862-203-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTE-AURELIEN",
        "first_name": "JORDALIS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010001836",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.