Marley Nissenbaum, OTD - Medicare Occupational Therapist in Ellington, CT

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Marley Nissenbaum, OTD is a medicare enrolled "Occupational Therapist" provider in Ellington, Connecticut. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Integrated Rehabilitation Services Limited Partnership and her current practice location is 140 West Rd Ste B, Ellington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 872-7500.

Marley Nissenbaum is licensed to practice in Connecticut (license number 6902) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487539995.

Contact Information

Marley Nissenbaum, OTD
140 West Rd Ste B,
Ellington, CT 06029-5710
(860) 872-7500
(860) 872-7501

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Healthcare Provider's Profile

Full NameMarley Nissenbaum
GenderFemale
SpecialityOccupational Therapist In Private Practice
Experience1 Years
Location140 West Rd Ste B, Ellington, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marley Nissenbaum graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1487539995
  • Provider Enumeration Date: 08/06/2025
  • Last Update Date: 06/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052884558
  • Enrollment ID: I20260625003855

Medical Identifiers

Medical identifiers for Marley Nissenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487539995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTL36304 (Massachusetts)Secondary
225X00000XOccupational Therapist 6902 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Rehabilitation Services Limited Partnership842642812949

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marley Nissenbaum allows following entities to bill medicare on her behalf.
Provider NameIntegrated Rehabilitation Services Limited Partnership
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1346969532
PECOS PAC ID: 8426428129
Enrollment ID: O20221221000196

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marley Nissenbaum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marley Nissenbaum, OTD
435 Hartford Tpke Ste U,
Vernon, CT 06066-4834

Ph: (860) 872-7500		Marley Nissenbaum, OTD
140 West Rd Ste B,
Ellington, CT 06029-5710

Ph: (860) 872-7500

Reviews and Comments


Occupational Therapist in Ellington, CT

Robin N Tripp, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 63 Mountain St, Ellington, CT 06029
Phone: 860-803-7052    
Nicole Michele Labonte, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 11 Sunset Rd, Ellington, CT 06029
Phone: 860-810-6645    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.