MARISSA E. KELLEY, OTR/L, PC (NPI# 1316250137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316250137 |
| Entity Type | Organization |
| Organization Name | MARISSA E. KELLEY, OTR/L, PC |
| Practice Address |
3208 Camden Rd Warren ME 04864-4124 |
| Practice Telephone | 2075945076 |
| Practice Fax Number | 2075947339 |
| Mailing Telephone | 2075945076 |
| Mailing Fax Number | 2075947339 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | MARISSA KELLEY (OWNER) |
| Authorized Official Telephone | 2075945076 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT1342 | ME | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 212770000 | 05 |
| Street Address |
3208 CAMDEN RD |
| City | WARREN |
| State | ME |
| Zip Code | 04864-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609091750 | Kellie D Bailey | Speech-Language Pathologist | 3208 Camden Rd, Warren, ME 04864 | 2007-04-16 |
| 1235761495 | Blakelee Jordan | Occupational Therapist | 3208 Camden Rd, Warren, ME 04864-4124 | 2020-02-06 |
| 1356857114 | Marissa Eldridge | Occupational Therapist | 3208 Camden Rd, Warren, ME 04864-4124 | 2017-12-15 |
| 1245632991 | Gina Longbottom | Occupational Therapist | 3208 Camden Rd, Warren, ME 04864-4124 | 2014-09-24 |
| 1760779441 | Heather Lisa Nelson | Occupational Therapy Assistant | 3208 Camden Rd, Warren, ME 04864-4124 | 2011-07-01 |
| 1679871651 | Emily Sue Bellmore Philbrook | Specialist/Technologist | 3208 Camden Rd, Warren, ME 04864-4124 | 2011-03-01 |
| 1699004176 | Kellie D. Bailey Ccc-slp PC | Speech-Language Pathologist | 3208 Camden Rd, Warren, ME 04864-4124 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1487883179 | Mr. Robin E. Boggs | Foster Care Agency | 349 North Pond Road, Warren, ME 04864 | 2009-07-02 |
| 1982743134 | Marissa Erin Kelley | Occupational Therapist | 3208 Camden Road, Warren, ME 04864 | 2007-02-05 |
| 1093726762 | Terence Michael Sokoloff | Dentist | 236 Atlantic Hwy, Warren, ME 04864 | 2006-08-10 |
| 1760734537 | Wendy Lynn Flaherty | Social Worker | 347 Patterson Mill Rd, Warren, ME 04864-4153 | 2012-10-03 |
| 1831135375 | Warren Family Medicine | Family Medicine | 191 Camden Rd, Warren, ME 04864-4207 | 2006-06-22 |
| 1114265295 | Katelynn Atwood | Occupational Therapy Assistant | 191 Camden Rd, Warren, ME 04864-4207 | 2013-01-23 |
| 1679811871 | Courtney Elizabeth Machado | Occupational Therapist | 191 Camden Rd, Warren, ME 04864-4207 | 2013-01-22 |
| 1659619039 | Audrey Frances Averill Blagdon | Occupational Therapist | 191 Camden Rd, Warren, ME 04864-4207 | 2013-01-20 |
| 1467715920 | Tyler Hunt | Occupational Therapy Assistant | 191 Camden Rd, Warren, ME 04864-4207 | 2012-06-20 |
| Find all providers in zip 04864 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1730441148 | Deborah Fixell | Specialist | 163 Town Hill Rd, Warren, CT 06754-1809 | 2012-06-12 |
| 1083991335 | Ashok K Aggarwal Md | Specialist | 4439 Mahoning Ave Nw Ste B, Warren, OH 44483-1975 | 2011-11-14 |
| 1447569447 | C Gary Loosli | Specialist | 57755 Old Portland Rd, Warren, OR 97053-9411 | 2010-09-25 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1528236106 | Electrical Workers Joint Board of Trustees | Specialist | 2277 E 11 Mile Rd, Suite Number 2, Warren, MI 48092-5217 | 2008-02-15 |
| 1841492709 | Center for Weight Management | Specialist | 13355 E. Ten Mile Rd., Suite Chm, Warren, MI 48089-2065 | 2007-06-04 |
| 1205853215 | Jareer S Hmoud | Specialist | 13430 E 13 Mile Rd, Warren, MI 48088-3187 | 2006-07-16 |
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| Find all providers in WARREN | ||||
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| 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.