Active NPI
Martha Evelyn Daniel, OTR/L
- Hand Occupational Therapist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 5251
- Practice address
- 3045 Kate Bond Rd
Memphis, TN 38133-4004 - Phone
- (901) 937-3200
- Fax
- (901) 383-1738
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006743 | GA | |
| Hand Occupational Therapist | 225XH1200X | 5251 | TN | Primary |
Addresses
Primary practice location
3045 Kate Bond Rd
Memphis, TN 38133-4004
Mailing address
1765 Old West Broad St
BLDG 2 Ste 200
Athens, GA 30606-2853
Phone (706) 549-1663
Other practice location 1
1765 Old West Broad St
Athens, GA 30606-2853
Phone (706) 549-1663
Other practice location 2
3440 Highway 81
Loganville, GA 30052-9112
Phone (706) 549-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone (901) 641-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5251 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Current | Accepting new patients | |
| MSK Group, PC | Occupational Therapist | Current | Accepting new patients |
| Pediatric Orthopedic Associates | Past | Accepting new patients | |
| MSK Group PC | Past | Accepting new patients |
Locations
3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
Organizations & group practices 4
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.
-
- Physical Therapist
- Southaven, MS
- NPI 1114793189
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1659488799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1356862288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 OLD WEST BROAD ST",
"address_2": "BLDG 2 STE 200",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062853",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 KATE BOND RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381334004",
"telephone_number": "901-937-3200",
"fax_number": "901-383-1738"
}
],
"practiceLocations": [
{
"address_1": "1765 Old West Broad St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "GA",
"postal_code": "306062853",
"country_code": "US",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3440 Highway 81",
"address_purpose": "LOCATION",
"city": "Loganville",
"state": "GA",
"postal_code": "300529112",
"country_code": "US",
"telephone_number": "706-549-1663",
"fax_number": "706-546-8792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "MARTHA",
"middle_name": "EVELYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006743",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TN",
"license": "5251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.