Active NPI
Shanelle Martinez, MOT,OTR/L
- Occupational Therapist
- Houston, TX
National Provider Identifier
1306574256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122884
- Practice address
- 6315 Gulfton St
Houston, TX 77081-1107 - Phone
- (713) 255-2347
- Fax
- (713) 357-6822
- NPI assigned
- Aug 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 122884 | TX | Primary |
Addresses
Primary practice location
6315 Gulfton St
Houston, TX 77081-1107
Mailing address
6715 Constatine CT
Sugar Land, TX 77479-5774
Phone (832) 868-9894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9301 Southwest Fwy
Suite 370
Houston, TX 77074-1509
Phone (713) 255-2347
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122884 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Rehabilitation LLC | Occupational Therapist | Current | Accepting new patients |
Locations
6315 Gulfton St
Ste 300
Houston, TX 77081
Phone (713) 255-2347
9301 Southwest Fwy
Ste 370
Houston, TX 77074
Phone (713) 255-2347
Organizations & group practices 1
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": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1306574256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 CONSTATINE CT",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774795774",
"telephone_number": "832-868-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6315 GULFTON ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811107",
"telephone_number": "713-255-2347",
"fax_number": "713-357-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "SHANELLE",
"credential": "MOT,OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.