Individual provider Active NPI

Shanelle Martinez, MOT,OTR/L

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1306574256
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122884 Issued in TX
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

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220915002194 TX Practitioner - Occupational Therapist in Private Practice 8628453388 Reassigns benefits to 1 organization

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
Rock Rehabilitation LLCGroup PAC ID 1850676073, 2 clinicians

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

LicenseStateTypeSpecialty
122884TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Rehabilitation LLC Occupational Therapist CurrentSince Aug 12, 2022 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.

Verify at the official NPI Registry.