Individual provider Active NPI

Zoe Nicole Martin, OTR/L, CTRS

  • Occupational Therapist
  • Fort Wayne, IN
National Provider Identifier
1326550344
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31006462A Issued in IN
Practice address
409 E Cook Rd Ste 100
Fort Wayne, IN 46825
Phone
(260) 487-4226
Fax
(260) 490-5433
NPI assigned
Oct 31, 2017
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 31006462A IN Primary

Addresses

Primary practice location

409 E Cook Rd Ste 100
Fort Wayne, IN 46825

Mailing address

7052 County Road 427
Auburn, IN 46706-9686
Phone (260) 433-7868

Other practice location 1

409 E Cook Rd Ste 100
Fort Wayne, IN 46825-3656
Phone (260) 487-4226 ext. 109

Other practice location 2

7052 County Road 427
Auburn, IN 46706-9686
Phone (260) 433-7868

Other identifiers 1

IdentifierTypeStateIssuer
31006462AOtherINNBCOT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122002935 IN Practitioner - Occupational Therapist in Private Practice 2163874553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turnstone Center for Children and Adults With Disabilities, Inc. Occupational Therapist CurrentSince Mar 1, 2024 Accepting new patients

Locations

3320 N Clinton St
Fort Wayne, IN 46805
Phone (260) 483-2100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1326550344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 COUNTY ROAD 427",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069686",
            "telephone_number": "260-433-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E COOK RD STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-487-4226",
            "fax_number": "260-490-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E Cook Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468253656",
            "country_code": "US",
            "telephone_number": "260-487-4226 x109",
            "fax_number": "260-490-5433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7052 County Road 427",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "IN",
            "postal_code": "467069686",
            "country_code": "US",
            "telephone_number": "260-433-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ZOE",
        "middle_name": "NICOLE",
        "credential": "OTR/L, CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006462A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "31006462A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.