Jaqueline Martinez Olivares, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-050111 Issued in AZ

Practice address

1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474

Phone

(480) 530-0890

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

Yes

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.

• Lexington Therapies, LLC

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1720887599
  NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1205659034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 E MCDOWELL RD UNIT 1401",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852570024",
            "telephone_number": "480-645-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W CAMELBACK RD STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153474",
            "telephone_number": "480-530-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ OLIVARES",
        "first_name": "JAQUELINE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-050111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donia Martinet, APRN
• Maria Azucena Martinez Berber
• Guadalupe Martinez de Lugo, RBT
• Heidi Edith Martinez Marquez, RN
• Aron Alfredo Martinez Nieto, CDL
• Arlety Martinez Pena
• Guadalupe Martinez Varela
• Mary A. Martinez-Duarte, SCHOOL COUNSELOR
• Aizelle Martinez, AGPCNP
• Albert P Martinez, MD

• Occupational Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.