Individual provider Active NPI

David Frank Marszalek, OTR/L

  • Occupational Therapist
  • Brockton, MA
National Provider Identifier
1972523074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5064 Issued in MA
Practice address
940 Belmont St
Brockton Vamc-BLDG 4, Room A204
Brockton, MA 02301-5596
Phone
(508) 583-4500
Fax
(774) 826-2073
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5064 MA Primary

Addresses

Primary practice location

940 Belmont St
Brockton Vamc-BLDG 4, Room A204
Brockton, MA 02301-5596

Mailing address

125 Milton St
Dartmouth, MA 02748-1718
Phone (508) 996-2735

Other identifiers 1

IdentifierTypeStateIssuer
5064OtherMAALLIED HEALTH PROFESSION-

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972523074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MILTON ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027481718",
            "telephone_number": "508-996-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "address_2": "BROCKTON VAMC-BLDG 4, ROOM A204",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015596",
            "telephone_number": "508-583-4500",
            "fax_number": "774-826-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSZALEK",
        "first_name": "DAVID",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "5064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIED HEALTH PROFESSION-",
            "identifier": "5064",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • 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.