Individual provider Active NPI

Tina Garrard Martin, O.T.R

  • Pediatric Occupational Therapist
  • Dickinson, TX
National Provider Identifier
1235298282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
104655 Issued in TX
Practice address
101 Bay Colony Elementary Dr
Dickinson, TX 77539-3950
Phone
(281) 534-8100
Fax
(281) 534-8125
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 104655 TX Primary

Addresses

Primary practice location

101 Bay Colony Elementary Dr
Dickinson, TX 77539-3950

Mailing address

3612 Tallow Forest Drive
Dickinson, TX 77539
Phone (281) 337-0973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104655TXMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235298282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 TALLOW FOREST DRIVE",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "281-337-0973",
            "fax_number": "281-337-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAY COLONY ELEMENTARY DR",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393950",
            "telephone_number": "281-534-8100",
            "fax_number": "281-534-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TINA",
        "middle_name": "GARRARD",
        "name_prefix": "Mrs.",
        "credential": "O.T.R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "104655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.