Shelby Martin, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

123148 Issued in TX

Practice address

2990 Legacy Dr
Frisco, TX 75034-6066

Phone

(469) 888-5192

NPI assigned

Oct 14, 2022

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eastern Therapy Solutions, PLLC

  • Occupational Therapist
  • Wilmington, NC
  • NPI 1073143343
  Medicare reassignment NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1124744750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 SANTA FE DR",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563727",
            "telephone_number": "214-385-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LEGACY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346066",
            "telephone_number": "469-888-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHELBY",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Martin, RN
• Miranda Martin, AGNP
• Mishayne Martin
• Paige Martin
• Shae Lee Martin, LPC
• Stacie Marie Martin, LPC
• Elvia Martinez Blanco, M.D.
• Marcos Martinez, DO
• Oscar Andres Martinez, MA
• Robert Eric Martinez, M.D.

• Occupational Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.