Isis Martin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056014363 Issued in IL

Practice address

333 N Park Rd
La Grange Park, IL 60526-1802

Phone

(708) 482-2400

NPI assigned

Jan 2, 2022

Last updated

Apr 10, 2022By the provider in NPPES

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

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.

• County of Cook School District 102

  • Local Education Agency (LEA)
  • La Grange Park, IL
  • NPI 1457576993
  NPD (past)
• Kemit Academy Incorporated

  • Pediatric Occupational Therapist
  • Chicago, IL
  • NPI 1447865399
  NPD (past)

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1275294290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 S LOWE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202352",
            "telephone_number": "773-332-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N PARK RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261802",
            "telephone_number": "708-482-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ISIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056014363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lyons, R.N., I.B.C.L.C.
• Ananya Malcha
• Todd Dino Manolis, D.D.S.
• Miriam Manrique
• Nina Marco
• Kathleen Elizabeth Mattingly, RN
• Gary Myles McCray, M.D.
• Margaret McElherne, SLP, CCC
• Sean C McMahon, DPT
• Meadowcrest Chiropractic, LTD.

• Occupational Therapist in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.