Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Dawn Wayne, OTD

Individual provider Occupational Therapist · NPI 1942040183

Marissa Dawn Wayne, OTD is an Occupational Therapist in Private Practice in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
2
Licensed in
IL, IN
In the registry since
2024
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

1611 W Harrison St Ste 107
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 — (877) 632-6637

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056016126 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 31008447A (IN)

Record details

NPI number1942040183
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedMay 27, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address1611 W Harrison St Ste 107, Chicago, IL 60612-4861

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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