Individual provider Active NPI

Maria De Jesus Martinez-Hernandez, OTR, MOT

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1053989384
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
111250 Issued in TX
Practice address
8627 Lakeside Pkwy
San Antonio, TX 78245-3261
Phone
(210) 810-4900
NPI assigned
Jun 14, 2021
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 111250 TX Primary

Addresses

Primary practice location

8627 Lakeside Pkwy
San Antonio, TX 78245-3261

Mailing address

10803 Sierra Glen Dr
San Antonio, TX 78245-2771
Phone (210) 606-7090

Other names 1

  • Maria Martinez Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
111250TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1053989384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 SIERRA GLEN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452771",
            "telephone_number": "210-606-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 LAKESIDE PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453261",
            "telephone_number": "210-810-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "DE JESUS",
        "credential": "OTR, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MARTINEZ",
            "credential": "OTR, MOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 14, 2021; 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.