Active NPI
David Frank Marszalek, OTR/L
- Occupational Therapist
- Brockton, MA
National Provider Identifier
1972523074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5064
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5064 | Other | MA | ALLIED 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.