Individual provider Active NPI

Martha D White, OT

  • Occupational Therapist
  • Huntsville, TX
National Provider Identifier
1083756100
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
02359 Issued in TX
Practice address
168 Col Etheredge Blvd Ste D
Huntsville, TX 77340-4224
Phone
(281) 381-4474
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 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 02359 TX Primary

Addresses

Primary practice location

168 Col Etheredge Blvd Ste D
Huntsville, TX 77340-4224

Mailing address

168 Col Etheredge Blvd Ste D
Huntsville, TX 77340-4224
Phone (936) 730-2248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000512 TX Practitioner - Occupational Therapist in Private Practice 0244291474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lymphedema Therapy Specialists Inc.Group PAC ID 4183956451, 8 clinicians

Practice addresses (Care Compare)

1501 River Pointe Dr
Suite 100
Conroe, TX 77304-2860
Phone (713) 497-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102359TXMDSpeech-Language Pathologist
02359TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema Therapy Specialists Inc. CurrentSince Apr 24, 2023 Accepting new patients
Lymphedema & Wound Institute, Inc. Past Accepting new patients
Lymphedema Treatment Centers of America, Inc. Past Accepting new patients

Locations

1501 River Pointe Dr
Ste 100
Conroe, TX 77304
Phone (713) 497-5335

9230 Kirby Dr
Ste 100
Houston, TX 77054
Phone (281) 400-1818

2385 W Bellfort Ave
Ste 100
Houston, TX 77054
Phone (713) 497-5335

705 S Fry Rd
Ste 100
Katy, TX 77450
Phone (281) 398-7926

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1083756100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 COL ETHEREDGE BLVD STE D",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404224",
            "telephone_number": "936-730-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 COL ETHEREDGE BLVD STE D",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404224",
            "telephone_number": "281-381-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARTHA",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "02359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.