Marilen Mamuyac Grimm, OTR
NPI 1881768224ActiveIndividual· Occupational Therapist· Glendale, CA
Occupational Therapist (OTR) with Wellworks Physical Therapy and Rehabilitation Inc, practicing in Glendale, California. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1881768224 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Nov 18, 2006 |
| Last updated in NPPES | Aug 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT 8425 | CA |
| Occupational Therapist, Neurorehabilitation | 225XN1300X | OT 8425 | CA |
| Occupational Therapist, Ergonomics | 225XE1200X | OT 8425 | CA |
| Occupational Therapist, Hand | 225XH1200X | OT8425 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Wellworks Physical Therapy and Rehabilitation IncGlendale, CA · 15 clinicians
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