Kelly Ann Martin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2980 Issued in NH

Practice address

435 S Main St
Manchester, NH 03102-4841

Phone

(603) 666-5982

Fax

(603) 621-3492

NPI assigned

Jun 4, 2020

Sex

Female

Sole proprietor

No

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

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.

• Easter Seals New Hampshire, Inc

  • Developmental Disabilities Clinic/Center
  • Manchester, NH
  • NPI 1730251430

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1104440239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AUBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024841",
            "telephone_number": "603-666-5982",
            "fax_number": "603-621-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Duane Martin, MA
• Amber Lynn Martin
• Clyde Donald Martin Jr., CRNA
• Ebony Martin, CRSW
• Kathleen M Martin, RD
• Raymond Martin II, CPHT-ADV., CSPT
• William Peter Martin, MD
• Morgan Martinage
• Heather Jeanne Martineau, LCMHC, MLADC
• Anna Marting, MS

• Occupational Therapist in Manchester, NH
• Providers in Manchester, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.