Individual provider Active NPI

Mary Ann Martinez, OTR/L, CHT

  • Occupational Therapist
  • Napa, CA
National Provider Identifier
1265623029
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4925 Issued in CA
Practice address
3273 Claremont Way
Suite 204
Napa, CA 94558-3306
Phone
(707) 259-1152
Fax
(707) 259-1361
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 OT4925 CA Primary

Addresses

Primary practice location

3273 Claremont Way
Suite 204
Napa, CA 94558-3306

Mailing address

3273 Claremont Way
Suite 204
Napa, CA 94558-3306
Phone (707) 259-1152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000203 CA Practitioner - Occupational Therapist in Private Practice 3476635780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Hand Rehabilitation and Wellness Inc.Group PAC ID 5496164063, 5 clinicians

Practice addresses (Care Compare)

3273 Claremont Way
Suite 204
Napa, CA 94558-3329
Phone (707) 259-1152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT4925CAMDOccupational Therapist
4925CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
California Hand Rehabilitation and Wellness, Inc. Occupational Therapist Current Accepting new patients
California Hand Rehabilitation and Wellness, Inc. Occupational Therapist CurrentSince Dec 10, 2020 Accepting new patients

Locations

3273 Claremont Way
Ste 204
Napa, CA 94558
Phone (707) 259-1152

Organizations & group practices 2

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1265623029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 CLAREMONT WAY",
            "address_2": "SUITE 204",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583306",
            "telephone_number": "707-259-1152",
            "fax_number": "707-259-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 CLAREMONT WAY",
            "address_2": "SUITE 204",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583306",
            "telephone_number": "707-259-1152",
            "fax_number": "707-259-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.