Andrea Martin, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTR1065 Issued in AR

Practice address

2740 College Avenue
Conway, AR 72034-9375

Phone

(501) 329-5459

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1003950254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 QUARRY DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347583",
            "telephone_number": "501-327-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 COLLEGE AVENUE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349375",
            "telephone_number": "501-329-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREA",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Marlin
• Jeffrey B Marotte, M.D.
• Rafael Jorge Marrero, MD
• Michael Marsh, R.N.
• Sarah Marsh, DPT
• Brandie McNabb Martin, M.D.
• Brittany N Martin
• Cameron Martin
• David A Martin, MD
• Haley Renee Martin

• Pediatric Occupational Therapist in Conway, AR
• Providers in Conway, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.