Active NPI
Wanda E Martinez
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1013490150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105940
- Practice address
- 307 W Cypress St
San Antonio, TX 78212-5512 - Phone
- (210) 223-5521
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 105940 | TX | Primary |
Addresses
Primary practice location
307 W Cypress St
San Antonio, TX 78212-5512
Mailing address
1949 Pintoage
New Braunfles, TX 78132
Phone (210) 215-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105940 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1013490150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 PINTOAGE",
"city": "NEW BRAUNFLES",
"state": "TX",
"postal_code": "78132",
"telephone_number": "210-215-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W CYPRESS ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125512",
"telephone_number": "210-223-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "WANDA",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.