Individual provider Active NPI

Vickie Maertz, OTR

  • Occupational Therapist
  • Alleyton, TX
National Provider Identifier
1194940213
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1110019 Issued in TX
Practice address
1370 Frelsburg Rd
Alleyton, TX 78935-2037
Phone
(979) 732-7021
Fax
(979) 733-9939
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2011

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 1110019 TX Primary

Addresses

Primary practice location

1370 Frelsburg Rd
Alleyton, TX 78935-2037

Mailing address

1370 Frelsburg Rd
Alleyton, TX 78935-2037
Phone (979) 732-7021

Other identifiers 1

IdentifierTypeStateIssuer
0179707801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190624000777 TX Practitioner - Occupational Therapist in Private Practice 1355675422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sealy Physical Rehab, LLCGroup PAC ID 7719162718, 6 clinicians

Practice addresses (Care Compare)

3701 Outlet Ctr Dr
Suite 50
Sealy, TX 77474-4907
Phone (979) 627-7774

511 6TH St
Sealy, TX 77474-2629

602 Meyer St
Sealy, TX 77474-2714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1110019TXMDOccupational Therapist
111019TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sealy Physical Rehab, LLC CurrentSince Mar 21, 2023 Accepting new patients
Speech Therapy Plus, PLLC Occupational Therapist CurrentSince May 28, 2019 Accepting new patients
Physical and Academic Learning Services, PLLC Occupational Therapist Past Accepting new patients
Sealy Physical Therapy PTP Investment LLC PastSince Mar 24, 2025 Accepting new patients

Locations

1421 FM 359 Rd
Ste H
Richmond, TX 77406
Phone (281) 232-1900

602 Meyer St
Sealy, TX 77474
Phone (979) 627-7774

Organizations & group practices 4

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1194940213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 FRELSBURG RD",
            "city": "ALLEYTON",
            "state": "TX",
            "postal_code": "789352037",
            "telephone_number": "979-732-7021",
            "fax_number": "979-733-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 FRELSBURG RD",
            "city": "ALLEYTON",
            "state": "TX",
            "postal_code": "789352037",
            "telephone_number": "979-732-7021",
            "fax_number": "979-733-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAERTZ",
        "first_name": "VICKIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "1110019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179707801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alleyton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.