MARISA LOVE (NPI# 1003944091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003944091 |
| Entity Type | Individual |
| Full Name | MARISA LOVE |
| Credential | ATC OTRL |
| Practice Address |
1931 Black Rock Tpke Fairfield CT 06825-3506 |
| Mailing Address |
2612 North Ave Unit D 2 Bridgeport CT 06604-2300 |
| Practice Telephone | 2033848681 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
002257 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1931 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659347300 | Rehabilitation Associates, Inc. | Rehabilitation Practitioner | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-02-23 |
| 1801428925 | Veronica Bun | Occupational Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2020-02-06 |
| 1801431739 | Ellyn Hardiman | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-11-14 |
| 1447891585 | Emily Corrice | Occupational Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825 | 2019-09-30 |
| 1285285577 | Sean Dwyer | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-09-27 |
| 1841841319 | Mallory Stoecker | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-09-25 |
| 1790330892 | Leah O'brien | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-08-06 |
| 1417425778 | Kathryn Young | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2018-11-05 |
| 1093290348 | Colleen Gomola | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2018-10-02 |
| 1790260123 | Charles Brunckhorst | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1376170076 | Amanda L Kuczo | Specialist/Technologist | 105 High Ridge Rd, Fairfield, CT 06825-2531 | 2020-03-24 |
| 1376184077 | Sydney Elaine Fuller | Specialist/Technologist | 190 Woodstock Dr, Fairfield, OH 45014-5246 | 2019-10-03 |
| 1518522168 | Alexandra Jones | Specialist/Technologist | 2432 Trevino Way, Fairfield, CA 94534-7524 | 2019-05-08 |
| 1578128997 | Bailey Schentrup | Specialist/Technologist | 4000 Suisun Valley Rd, Fairfield, CA 94534-4017 | 2019-05-02 |
| 1275098345 | Maria Jose Lequerica | Specialist/Technologist | 319 Old Stratfield Rd, Fairfield, CT 06825-4434 | 2019-02-04 |
| 1649772948 | Ronald Van Fullove II | Specialist/Technologist | 5500 Myron Massey Blvd, Fairfield, AL 35064-2621 | 2018-03-02 |
| 1841641727 | Jasmyne Marie Sexton | Specialist/Technologist | 5350 Camelot Dr Apt 13, Fairfield, OH 45014-4091 | 2016-06-22 |
| 1770944258 | Erica Argentati | Specialist/Technologist | 2153 Yorktown Ct, Fairfield, OH 45014-3843 | 2016-03-11 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in FAIRFIELD | ||||
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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.