Individual provider · Type 1 NPI
Marley Nissenbaum, OTD
Occupational Therapist · Ellington, CT
Practice location
140 West Rd Ste B
Ellington, CT 06029-5710
Fax (860) 872-7501
Mailing address
435 Hartford Tpke Ste U
Vernon, CT 06066-4834
Other practice locations
- 1506A Allen St, Springfield, MA 01118-1817 · (413) 783-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | OTL36304 (MA) |
| Occupational Therapist Primary | 225X00000X | 6902 (CT) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
2 other providers at this address
Other occupational therapist providers in Ellington
About NPI 1487539995
Marley Nissenbaum, OTD's National Provider Identifier is 1487539995, issued on Aug 6, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ellington, CT. The record was last updated on Jun 17, 2026.