Kimberly Ann Martin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00043600 Issued in NJ

Practice address

301 Sicomac Ave
Christian Healthcare Center
Wyckoff, NJ 07481

Phone

(201) 848-4323

NPI assigned

Nov 20, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1346584919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SICOMAC AVE",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321756",
            "telephone_number": "201-444-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE",
            "address_2": "CHRISTIAN HEALTHCARE CENTER",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "07481",
            "telephone_number": "201-848-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00043600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "46TR00043600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindasusan Marcus, MD
• Annamarie Marino, PMHNP-C
• Nicole Marks, BCBA
• Alexander Marotta, M.D.
• Steffani Marsh, PT
• Raysa M Martin, DDS
• Scott E. Martin, DMD
• Shanaz Martin, PT, LNHA
• Thomas Edward Martin, LCSW
• Amalie Malkie Marx

• Occupational Therapist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.