MARISSA VAVRA OTD
NPI 1821697392
Occupational Therapist in Gurnee, IL

Active since October 25, 2020
1405 N HUNT CLUB RD, GURNEE, IL 60031(847) 855-2890 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2022, Oct 25, 2020 (2 updates tracked since 2020).

About Marissa Vavra Otd NPPES

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

MARISSA VAVRA OTD (NPI 1821697392) is an individual occupational therapist in Gurnee, Illinois, licensed in Illinois (056.013736) and active in the NPI registry since October 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1821697392
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMARISSA VAVRACredential: OTD
Location Address1405 N HUNT CLUB RDGurnee, IL 60031-2656
Mailing Address18w108 Claremont DrDarien, IL 60561-5702
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 25, 2020
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
NPI 1821697392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IL · 056.013736
Definition
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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1405 N HUNT CLUB RD, Gurnee, IL 60031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marissa Vavra Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729555321
PECOS Enrollment IDI20260430002376

Other Providers at the Same Location NPPES 5

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

Physical Therapist
1405 N HUNT CLUB RD
GURNEE, IL 60031
Physical Therapist
1405 N HUNT CLUB RD
GURNEE, IL 60031
Physical Therapy Assistant
1405 N HUNT CLUB RD
GURNEE, IL 60031
Physical Therapy Assistant
1405 N HUNT CLUB RD
GURNEE, IL 60031
Physical Therapist
1405 N HUNT CLUB RD
GURNEE, IL 60031

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 Vavra's NPI number?

The NPI number for Marissa Vavra is 1821697392. It was assigned to this individual provider in the NPPES registry on October 25, 2020.

Where is Marissa Vavra located?

Marissa Vavra practices at 1405 N Hunt Club Rd, Gurnee, IL 60031. The listed phone number is (847) 855-2890.

What is Marissa Vavra's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Marissa Vavra enrolled in Medicare?

Yes. Marissa Vavra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Vavra was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.