Active NPI
Marianela Martinez, OT
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1306869193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 11418
- Practice address
- 1357 Swooping Eagle CT
Jacksonville, FL 32225-5279 - Phone
- (904) 219-5836
- NPI assigned
- Jul 25, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 11418 | FL | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT 11418 | FL | |
| Mental Health Occupational Therapist | 225XM0800X | OT 11418 | FL | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT 11418 | FL |
Addresses
Primary practice location
1357 Swooping Eagle CT
Jacksonville, FL 32225-5279
Mailing address
1357 Swooping Eagle CT
Jacksonville, FL 32225-5279
Phone (904) 219-5836
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 11418 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Outreach Inc | Occupational Therapist | Past | Accepting new patients |
| Lymphedema Care Center of North Florida, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Preferred Provider Organization
- Jacksonville, FL
- NPI 1487891859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1306869193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 SWOOPING EAGLE CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255279",
"telephone_number": "904-219-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 SWOOPING EAGLE CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255279",
"telephone_number": "904-219-5836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARIANELA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 11418",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT 11418",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "FL",
"license": "OT 11418",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "FL",
"license": "OT 11418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.