Active NPI
Shari Lynn Martin, OTR
- Occupational Therapist
- Decatur, MI
National Provider Identifier
1295859221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31004352A
- Practice address
- 90590 County Road 215
Decatur, MI 49045-9261 - Phone
- (269) 913-2178
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056-006226 | IL | |
| Occupational Therapist | 225X00000X | 31004352A | IN | Primary |
| Occupational Therapist | 225X00000X | 5201007064 | MI |
Addresses
Primary practice location
90590 County Road 215
Decatur, MI 49045-9261
Mailing address
90590 County Road 215
Decatur, MI 49045-9261
Phone (269) 913-2178
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 |
|---|---|---|---|
| 056-006226 | IL | MD | Occupational Therapist |
| 31004352A | IN | MD | Occupational Therapist |
| 5201007064 | MI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1295859221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90590 COUNTY ROAD 215",
"city": "DECATUR",
"state": "MI",
"postal_code": "490459261",
"telephone_number": "269-913-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90590 COUNTY ROAD 215",
"city": "DECATUR",
"state": "MI",
"postal_code": "490459261",
"telephone_number": "269-913-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SHARI",
"middle_name": "LYNN",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056-006226",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31004352A",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201007064",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.