Individual provider Active NPI

Sheri Lynn Martin, MS,OTR/L, LSVT

  • Occupational Therapist
  • Pettibone, ND
National Provider Identifier
1346456233
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
953 Issued in ND
Practice address
4250 20TH St SE
Pettibone, ND 58475-9352
Phone
(701) 771-8949
NPI assigned
May 15, 2007
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 953 ND Primary

Addresses

Primary practice location

4250 20TH St SE
Pettibone, ND 58475-9352

Mailing address

4250 20TH St SE
Pettibone, ND 58475-9352
Phone (701) 771-8949

Other identifiers 2

IdentifierTypeStateIssuer
26100OtherNDBCBS
1459172MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731001891 ND Practitioner - Occupational Therapist in Private Practice 5597273748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
953NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheri's Smile and Skills Therapy Occupational Therapist CurrentSince Jun 26, 2025 Accepting new patients

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1346456233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 20TH ST SE",
            "city": "PETTIBONE",
            "state": "ND",
            "postal_code": "584759352",
            "telephone_number": "701-771-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 20TH ST SE",
            "city": "PETTIBONE",
            "state": "ND",
            "postal_code": "584759352",
            "telephone_number": "701-771-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHERI",
        "middle_name": "LYNN",
        "credential": "MS,OTR/L, LSVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26100",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459172",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pettibone, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.