MARISSA AGATHA SHEPPARD (NPI# 1063613313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063613313 |
| Entity Type | Individual |
| Full Name | MARISSA AGATHA SHEPPARD |
| Credential | OTRL |
| Practice Address |
1337 Blue Sage Way Chula Vista CA 91915-1616 |
| Practice Telephone | 6193986990 |
| Practice Fax Number | 6197546907 |
| Mailing Telephone | 6193986990 |
| Mailing Fax Number | 6197546907 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
OT5938 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1337 BLUE SAGE WAY |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790996304 | Therapeutic Health Inc. | Clinic/Center | 1337 Blue Sage Way, Chula Vista, CA 91915-1616 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| Taxonomy Code | 225XN1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Neurorehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124249057 | Mary Madeline Connolly | Occupational Therapist | 251 Landis Ave, Suite 201, Chula Vista, CA 91910 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421249 | Hope Rising Therapy Inc. | Occupational Therapist | 31926 Via Ararat Dr, Bonsall, CA 92003-4340 | 2020-09-14 |
| 1992316681 | Cristin M. Zeisler | Occupational Therapist | 854 Penn St, El Segundo, CA 90245-2511 | 2020-08-14 |
| 1629694161 | Gina Erdman | Occupational Therapist | 1824 Ostrom Ave, Long Beach, CA 90815-3646 | 2020-06-21 |
| 1407324734 | Donald David Ajluni | Occupational Therapist | 1630 E Seeger Ave, Visalia, CA 93292-2026 | 2018-11-05 |
| 1326538661 | Stephanie Marie Farrell | Occupational Therapist | 910 E Alosta Ave, Azusa, CA 91702-2709 | 2018-05-11 |
| 1770098329 | Lucy Dodakian | Occupational Therapist | 843 Health Sciences Road Hewitt Hall 1331, Irvine, CA 92697-0001 | 2017-12-05 |
| 1932586690 | Sarah Cook | Occupational Therapist | 27 Los Cerros Ave, Walnut Creek, CA 94598-3134 | 2015-05-01 |
| 1801211313 | Meri Escobar | Occupational Therapist | 39 Kentworth, Irvine, CA 92602-0110 | 2014-02-20 |
| 1073888913 | Julie Ellen Papadakis | Occupational Therapist | 22642 Lambert St Ste 403, Lake Forest, CA 92630-1645 | 2012-03-10 |
| 1063657419 | Kevin Isaacs | Occupational Therapist | 9150 Reseda Blvd, Northridge, CA 91324 | 2008-12-12 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
Please comment or provide details below to improve the information on MARISSA AGATHA SHEPPARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.