MARISSA AGATHA SHEPPARD OTRL
NPI 1063613313
Occupational Therapist - Neurorehabilitation in Chula Vista, CA

Q: What is Marissa Sheppard's NPI number?

The NPI number for Marissa Sheppard is 1063613313. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Marissa Sheppard's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Sheppard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 31, 2007

1337 BLUE SAGE WAY, CHULA VISTA, CA 91915(619) 398-6990(619) 754-6907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marissa Agatha Sheppard Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA AGATHA SHEPPARD OTRL (NPI 1063613313) is an individual neurorehabilitation provider in Chula Vista, California, licensed in California (OT5938) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063613313

Entity TypeIndividualFemale

Primary Taxonomy225XN1300X

Provider Legal NameMARISSA AGATHA SHEPPARDCredential: OTRL

Location Address1337 BLUE SAGE WAYChula Vista, CA 91915-1616

Mailing Address1337 Blue Sage WayChula Vista, CA 91915-1616 · (619) 398-6990 · Fax (619) 754-6907

Phone(619) 398-6990

Fax(619) 754-6907

Sole ProprietorYes

Enumeration DateMay 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063613313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XN1300X

License✔ Licensed in CA · OT5938

1337 BLUE SAGE WAY, Chula Vista, CA 91915

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Other Identifiers 1

Medicare ID-Type UnspecifiedW18990CA · Medicare Provider Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERAPEUTIC HEALTH INC.

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

1337 BLUE SAGE WAY
CHULA VISTA, CA 91915

San Diego County (619) 398-6990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Sheppard's NPI number?

The NPI number for Marissa Sheppard is 1063613313. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Marissa Sheppard located?

Marissa Sheppard practices at 1337 Blue Sage Way, Chula Vista, CA 91915. The listed phone number is (619) 398-6990.

What is Marissa Sheppard's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

When was this NPI record last updated?

The NPPES record for Marissa Sheppard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.