Individual provider Active NPI

Madison Martin, OTR, OTD

  • Occupational Therapist
  • Fort Worth, TX
National Provider Identifier
1073355608
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124651 Issued in TX
Practice address
3445 Golden Triangle Blvd
Fort Worth, TX 76177-7166
Phone
(817) 812-3007
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 124651 TX Primary

Addresses

Primary practice location

3445 Golden Triangle Blvd
Fort Worth, TX 76177-7166

Mailing address

1217 Realoaks Dr
Fort Worth, TX 76131-3379
Phone (817) 673-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625002925 TX Practitioner - Occupational Therapist in Private Practice 4183167661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy TX LLCGroup PAC ID 1658705942, 62 clinicians

Practice addresses (Care Compare)

3445 Golden Triangle Blvd
Fort Worth, TX 76177-7166
Phone (817) 498-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC CurrentSince May 10, 2024 Accepting new patients
DPT Holdings, LLC CurrentSince Sep 1, 2025 Accepting new patients
Premier Rehab, P.C. PastSince Dec 22, 2013 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

4140 N Collins St
Ste 100
Arlington, TX 76005
Phone (817) 898-0078

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

4120 Heritage Trace Pkwy
Ste 220
Fort Worth, TX 76244
Phone (817) 741-7585

3445 Golden Triangle Blvd
Ft Worth, TX 76177
Phone (817) 812-3007

816 Keller Pkwy
Ste 200
Keller, TX 76248
Phone (817) 200-7445

5108 McPherson Rd
Ste 3
Laredo, TX 78041
Phone (956) 726-4443

1600 FM 544
Ste 200
Lewisville, TX 75056
Phone (214) 295-5677

5060 Davis Blvd
North Richlnd Hls, TX 76180
Phone (817) 385-7102

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

1700 Commons Cir
#100
Northlake, TX 76226
Phone (940) 213-9001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1073355608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 REALOAKS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313379",
            "telephone_number": "817-673-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 GOLDEN TRIANGLE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777166",
            "telephone_number": "817-812-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MADISON",
        "credential": "OTR, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.