Marley Nissenbaum, OTD
Marley Nissenbaum, OTD is an Occupational Therapist in Private Practice in Ellington, Connecticut. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Connecticut and Massachusetts.
- Years since qualifying
- 1
- Licensed in
- CT, MA
- In the registry since
- 2025
- Specialties on file
- 2
What do these letters mean?
- OTD — Doctor of Occupational Therapy
- The doctoral degree in occupational therapy.
Practice location Address checks out
140 W Rd Ste BEllington, CT 06029-5710
Phone: (860) 872-7500
Fax: (860) 872-7501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1506a Allen St, Springfield, MA 01118-1817 — (413) 783-5500
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 6902 (CT) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence OTL36304 (MA) |
Record details
| NPI number | 1487539995 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTD |
| Sole proprietor | No |
| NPI enumerated | August 6, 2025 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
| Mailing address | 435 Hartford Tpke Ste U, Vernon, CT 06066-4834 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Ellington
-
Nicole Michele Labonte, OTR/L
11 Sunset Rd, Ellington, CT 06029-3715 · (860) 810-6645
-
Robin N Tripp, OTR/L
63 Mountain St, Ellington, CT 06029-4138 · (860) 803-7052