Active NPI
Jillian Martinez, MOT OTR/L
- Occupational Therapist
- Santa Fe, NM
National Provider Identifier
1245892918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4078
- Practice address
- 43 Canto del Pajaro
Santa Fe, NM 87508-4842 - Phone
- (505) 690-9798
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4078 | NM | Primary |
Addresses
Primary practice location
43 Canto del Pajaro
Santa Fe, NM 87508-4842
Mailing address
43 Canto del Pajaro
Santa Fe, NM 87508-4842
Phone (505) 690-9798
Other practice location 1
43 Canto Del Pajaro
Santa Fe, NM 87508-4842
Phone (505) 690-9798
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4078 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Playground Therapies LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Albuquerque, NM
- NPI 1679155295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1245892918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CANTO DEL PAJARO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875084842",
"telephone_number": "505-690-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CANTO DEL PAJARO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875084842",
"telephone_number": "505-690-9798"
}
],
"practiceLocations": [
{
"address_1": "43 Canto Del Pajaro",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875084842",
"country_code": "US",
"telephone_number": "505-690-9798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JILLIAN",
"credential": "MOT OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "4078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.