Katie H Martinez-Smith, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Rehoboth, MA

NPI 1316459159 · NPPES record last updated Nov 2, 2017

Key facts

NPI
1316459159
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4256 (MA)
Practice address
59 Summer St
Rehoboth, MA 02769
Phone
(508) 252-5814
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4256MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenlock Therapeutic Riding Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4256 MA Yes

Addresses

Primary practice location

59 Summer St
Rehoboth, MA 02769

Mailing address

42 Briercliffe Rd
Fairhaven, MA 02719-1315
Phone (774) 305-0412

Other providers in Rehoboth, MA

All providers in Rehoboth, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.