Individual provider Active NPI

Martha Green, OT

  • Occupational Therapist
  • Jackson Heights, NY
National Provider Identifier
1366063273
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025275 Issued in NY
Practice address
3453 92ND St FL 2
Jackson Heights, NY 11372-3741
Phone
(718) 608-4973
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0603362 NY
Occupational Therapist 225X00000X 025275 NY Primary

Addresses

Primary practice location

3453 92ND St FL 2
Jackson Heights, NY 11372-3741

Mailing address

3453 92ND St FL 2
Jackson Heights, NY 11372-3741
Phone (718) 608-4973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426001803 NY Practitioner - Occupational Therapist in Private Practice 1951766948 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy Rehab of Ny PCGroup PAC ID 1759611759, 4 clinicians
Hands of Hope PT P.C.Group PAC ID 8022323781, 16 clinicians

Practice addresses (Care Compare)

Mineola, NY 11501
Phone (213) 884-5987

2531 Steinway St
Astoria, NY 11103-3788
Phone (929) 463-7105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0603362NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Services PT OT PLLC Occupational Therapist CurrentSince Apr 1, 2023 Accepting new patients
Dynamic Physical Therapy Rehab of Ny P.C. CurrentSince Dec 10, 2023 Accepting new patients
Hands of Hope PT PC CurrentSince Jan 31, 2026 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8003 211th St
Queens Vlg, NY 11427
Phone (718) 464-8948

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

1752 Francis Lewis Blvd
Whitestone, NY 11357
Phone (718) 746-9494

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.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1366063273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 92ND ST FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723741",
            "telephone_number": "718-608-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 92ND ST FL 2",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723741",
            "telephone_number": "718-608-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARTHA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "0603362",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.

Verify at the official NPI Registry.