Martin Aurelio, OTR/L

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

OT- 2047 Issued in CA

Practice address

101 W American Canyon Rd Ste 580-279
American Canyon, CA 94503-1162

Phone

(707) 853-0315

NPI assigned

Feb 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1275701401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AMERICAN CANYON RD STE 580-279",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031162",
            "telephone_number": "707-853-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W AMERICAN CANYON RD STE 580-279",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031162",
            "telephone_number": "707-853-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURELIO",
        "first_name": "MARTIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "CA",
            "license": "OT- 2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "2047",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "977501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OT LICENSE",
            "identifier": "2047",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Military Health Care Provider in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.