Healthcare Provider Details

I. General information

NPI: 1285035121
Provider Name (Legal Business Name): MARLEY BAIN M.S. OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 WATERVLIET SHAKER RD
ALBANY NY
12205-1002
US

IV. Provider business mailing address

7 WRIGHT RD
STILLWATER NY
12170-2018
US

V. Phone/Fax

Practice location:
  • Phone: 518-464-6300
  • Fax:
Mailing address:
  • Phone: 315-405-1827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number018957
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number018957
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: