Individual provider Active NPI

Martha Pruitt Linyard

  • Occupational Therapist
  • Addison, TX
National Provider Identifier
1093213910
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118857 Issued in TX
Practice address
15820 Addison Rd
Addison, TX 75001-3549
Phone
(866) 919-3240
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 118857 TX Primary

Addresses

Primary practice location

15820 Addison Rd
Addison, TX 75001-3549

Mailing address

15742 Seabolt
Addison, TX 75001-6330
Phone (337) 802-1888

Other practice location 1

15820 Addison Rd
Addison, TX 75001-3549
Phone (866) 919-3240

Other practice location 2

15820 Addison Rd
Addison, TX 75001-3549
Phone (866) 919-3240

Other identifiers 2

IdentifierTypeStateIssuer
395678OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
118857OtherTXTEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS

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
118857TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093213910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15742 SEABOLT",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016330",
            "telephone_number": "337-802-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 ADDISON RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013549",
            "telephone_number": "866-919-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15820 Addison Rd",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013549",
            "country_code": "US",
            "telephone_number": "866-919-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15820 Addison Rd",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013549",
            "country_code": "US",
            "telephone_number": "866-919-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINYARD",
        "first_name": "MARTHA",
        "middle_name": "PRUITT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "395678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "118857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.