Taylor Alexis Martin, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16621 Issued in NC

Practice address

1401 S Ridge Ave
Kannapolis, NC 28083-6056

Phone

(980) 242-0690

Fax

(980) 236-9380

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Lively Therapy Services

  • Occupational Therapist
  • Kannapolis, NC
  • NPI 1134713019

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1053164178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280820248",
            "telephone_number": "980-242-0690",
            "fax_number": "980-236-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RIDGE AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836056",
            "telephone_number": "980-242-0690",
            "fax_number": "980-236-9380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Concord Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252813",
            "country_code": "US",
            "telephone_number": "980-242-0690",
            "fax_number": "980-236-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TAYLOR",
        "middle_name": "ALEXIS",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "16621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Macintosh, SLP
• Felicia M Manson
• Darrius Sherade Marable, RD
• Markham Homes LLC
• Sydney Markovics
• Samantha Martinez
• Emilia Mason, DIRECTOR
• Michelle Christine Mastrovito
• Christapherlee Mathis
• Matthew Rivera DMD PLLC

• Occupational Therapist in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.