Amanda Suzanne Martin, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

TL60536271 Issued in WA

Practice address

1518 Jadwin Ave
Richland, WA 99354-2902

Phone

(509) 942-8474

NPI assigned

Jan 29, 2015

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

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.

• Agape Therapy Services ,PLLC

  • Pediatric Physical Therapist
  • Richland, WA
  • NPI 1144622861

  Pediatrics

  NPD
• Center for Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Spokane, WA
  • NPI 1477718492
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1164812053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 RAMUS LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018080",
            "telephone_number": "208-360-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 JADWIN AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542902",
            "telephone_number": "509-942-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMANDA",
        "middle_name": "SUZANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "TL60536271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Norman Marlowe, D.O.
• Kevin L Marsh, MD
• Robert J Marshall, M.D.
• Tara Martell, ARNP
• Shellie Marthini, ARNP
• Tawnya R Martineau, COTA
• Lesley Martinez Martinez
• Amairani I Martinez
• Andrew Martinez, HYGIENIST
• Dominic Arcadio Martinez

• Pediatric Occupational Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.