Individual provider Active NPI

Jennifer Martinkovic, OTR/L

  • Occupational Therapist
  • Covington, KY
National Provider Identifier
1306526140
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
132907 Issued in KY
Practice address
1735 Mount Vernon Dr
Covington, KY 41011-3662
Phone
(859) 803-6396
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0901866 OH
Occupational Therapist 225X00000X 132907 KY Primary

Addresses

Primary practice location

1735 Mount Vernon Dr
Covington, KY 41011-3662

Mailing address

1735 Mount Vernon Dr
Covington, KY 41011-3662
Phone (859) 803-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230803002910 OH Practitioner - Occupational Therapist in Private Practice 1254792419 Reassigns benefits to 1 organization
I20230804001617 KY Practitioner - Occupational Therapist in Private Practice 1254792419 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Kentucky, LLCGroup PAC ID 1850729211, 108 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996

2950 Turkeyfoot Rd
Edgewood, KY 41017-5400
Phone (859) 331-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0901866OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jul 21, 2023 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Occupational Therapist CurrentSince Jul 21, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 13, 2024 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 13, 2024 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Jul 21, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Occupational Therapist CurrentSince Jul 21, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 6

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1306526140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MOUNT VERNON DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113662",
            "telephone_number": "859-803-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MOUNT VERNON DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113662",
            "telephone_number": "859-803-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINKOVIC",
        "first_name": "JENNIFER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "0901866",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "132907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.