Active NPIIndividual provider

Marc Iannucci, OTA

Occupational Therapy Assistant in Southington, Connecticut

NPI Number1992503536
Practice location
56 Partridge Dr, Southington, CT 06489-4017
Fax
866-232-5535
Last updated
March 7, 2025

Marc Iannucci is an Occupational Therapy Assistant based in Southington, CT. Marc Iannucci practices in Southington, CT and has the professional credentials of OTA. The NPI Number for Marc Iannucci is 1992503536 and holds a License No. 000878 (CT). The current practice location address for Marc Iannucci is 56 Partridge Dr, Southington, CT 06489-4017 and can be reached out via phone at 203-979-9440 and via fax at 866-232-5535.

Provider Profile Details

NPI Number
1992503536
Provider Name
Marc Iannucci
Credential
OTA
Provider Entity Type
Individual
Gender
Male
Address
56 Partridge Dr, Southington, CT 06489-4017
Phone Number
203-979-9440
Fax Number
866-232-5535
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
March 7, 2025
Last Update Date
March 7, 2025
Certification Date
March 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
56 Partridge Dr
Southington, CT 06489-4017
Zip
06489-4017
Phone Number
203-979-9440
Fax Number
866-232-5535
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
56 Partridge Dr
Southington, CT 06489-4017
City
Southington
State
CT
Zip
06489-4017
Phone Number
203-979-9440
Fax Number
866-232-5535

License Information

License Number
000878
License State
CT
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marc Iannucci, OTA?

The NPI number of Marc Iannucci, OTA is 1992503536. It was assigned on March 7, 2025 and is currently active in the NPPES registry.

What is the specialty of Marc Iannucci, OTA?

Marc Iannucci, OTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 000878.

Where does Marc Iannucci, OTA practice?

The practice location is 56 Partridge Dr, Southington, CT 06489-4017. The office can be reached at 203-979-9440 (phone) or 866-232-5535 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992503536 directly on the NPPES registry website.

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