Active NPI
Luis Martinez, OT
- Occupational Therapist
- Palmhurst, TX
National Provider Identifier
1306982566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 110662
- Practice address
- 123 West Mile 3 Road
Suite a-103
Palmhurst, TX 78573 - Phone
- (956) 585-9889
- Fax
- (956) 585-9896
- NPI assigned
- Jan 29, 2007
- Last updated
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- No
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 | 110662 | TX | Primary |
Addresses
Primary practice location
123 West Mile 3 Road
Suite a-103
Palmhurst, TX 78573
Mailing address
123 West Mile 3 Road
Suite a-103
Palmhurst, TX 78573
Phone (956) 585-9889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110662 | Other | TX | LICENSE |
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 |
|---|---|---|---|
| 110662 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1306982566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 WEST MILE 3 ROAD",
"address_2": "SUITE A-103",
"city": "PALMHURST",
"state": "TX",
"postal_code": "78573",
"telephone_number": "956-585-9889",
"fax_number": "956-585-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 WEST MILE 3 ROAD",
"address_2": "SUITE A-103",
"city": "PALMHURST",
"state": "TX",
"postal_code": "78573",
"telephone_number": "956-585-9889",
"fax_number": "956-585-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LUIS",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "110662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "110662",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmhurst, TX
- Hazael Hernandez, PHARMACY TECHNICIAN
- Leslie Ann Hinojosa, COTA
- Pricila Hinojosa, PHARM.D.
- Kairos Primary Health Care LLC
- Ivana Gail Longoria, ATC, LAT
- Diego Mascorro, PHARMD
- Mis Verdaderos Amigos Adult Day Care, LLC
- Tina F Mukete, REGISTERED NURSE
- North Conway Family Dentistry, PLLC
- Ops Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.