Active NPI
Marni Sustento Puchero, OTR/L
- Occupational Therapist
- Melbourne, FL
National Provider Identifier
1962731489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13876
- Practice address
- 7365 Orchestra LN
Melbourne, FL 32940-2616 - Phone
- (321) 610-8945
- NPI assigned
- Dec 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13876 | FL | Primary |
Addresses
Primary practice location
7365 Orchestra LN
Melbourne, FL 32940-2616
Mailing address
7620 Greenboro Dr
Apartment #2
West Melbourne, FL 32904-1403
Phone (321) 327-3791
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13876 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1962731489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7620 GREENBORO DR",
"address_2": "APARTMENT #2",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329041403",
"telephone_number": "321-327-3791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7365 ORCHESTRA LN",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402616",
"telephone_number": "321-610-8945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCHERO",
"first_name": "MARNI",
"middle_name": "SUSTENTO",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "13876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.