Martin Wilson, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

102973 Issued in MN

Practice address

7550 France Ave S Ste 220
Edina, MN 55435-4762

Phone

(612) 859-7709

Fax

(612) 326-1974

NPI assigned

Sep 8, 2008

Sex

Male

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)

Enrolled

Practice roles

Locations

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

• Partners in Excellence Inc

  • Cognitive & Behavioral Psychologist
  • Burnsville, MN
  • NPI 1467598730

  Pediatrics

  NPD

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043468671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354762",
            "telephone_number": "612-859-7709",
            "fax_number": "651-481-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 220",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354762",
            "telephone_number": "612-859-7709",
            "fax_number": "612-326-1974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Minnesota Ave",
            "address_purpose": "LOCATION",
            "city": "Little Canada",
            "state": "MN",
            "postal_code": "551171781",
            "country_code": "US",
            "telephone_number": "651-481-8040",
            "fax_number": "651-481-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARTIN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "102973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Willis, L.AC.
• Ted S Willis, MD
• Linda K Wilmarth, MD
• Jeffrey Lee Wilson, D.O.
• Kathryn Regina Wilson, PA-C
• Nicholas J. Wilson, M.D.
• Rachel Elizabeth Wilson, MD
• Wind Wave Counseling LLC
• Amanda Jill Windyk, MSW, LICSW
• Cheryl Berg Wineman, LADC

• All providers in Edina, MN
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.