Jessica Patricia Martinez, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

5201007703 Issued in MI

Practice address

2075 E West Maple Rd
Suite B-204
Commerce Township, MI 48390-3816

Phone

(248) 926-0909

Fax

(248) 624-3332

NPI assigned

Jun 13, 2010

Last updated

Jun 13, 2010By the provider in NPPES

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

Other names 1

• Jessica Patricia Wahl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Detroit Institute for Children

  dba The Abilities Center

  • Specialist
  • Commerce Township, MI
  • NPI 1770658239
  NPD (past)
• Detroit Institute for Children

  • Speech-Language Pathologist
  • Commerce Township, MI
  • NPI 1811061948
  NPD (past)

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276387200000",
    "number": "1033430137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 WOODWARD AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482024009",
            "telephone_number": "313-832-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E WEST MAPLE RD",
            "address_2": "SUITE B-204",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903816",
            "telephone_number": "248-926-0909",
            "fax_number": "248-624-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JESSICA",
        "middle_name": "PATRICIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-13",
        "last_updated": "2010-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5201007703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WAHL",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shane Macphee, DC
• Ryan Andrew Madek
• Mark a Madek DDS PLLC (Mark a Madek, DDS)
• Mark P. Karchon DO, PC
• Jordan Marsh, PTA
• Dakota Mayville
• Kelly Jayne McCarthy, NP
• Kara L McGahey, FNP-BC, RN
• Larissa Alexandra McMahon, D.C.
• Meijer Inc (Meijer Pharmacy #109)

• Specialist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2010; 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.