Active NPI
Martha Mena Arcineda, OT
- Occupational Therapist
- Carrollton, TX
National Provider Identifier
1376080481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 119095
- Practice address
- 1000 W Crosby Rd Ste 136
Carrollton, TX 75006 - Phone
- (972) 237-0100
- NPI assigned
- Jan 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 119095 | TX | Primary |
Addresses
Primary practice location
1000 W Crosby Rd Ste 136
Carrollton, TX 75006
Mailing address
1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904
Phone (972) 237-0100
Other practice location 1
2425 E Southlake Blvd
Ste 100
Southlake, TX 76092-6674
Phone (817) 442-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119095 | Other | TX | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119095 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CKC Holdings LLC | Current | Accepting new patients | |
| CKC Holdings LLC | Current | Accepting new patients | |
| Pediaplex Management Company LLC | Past | Accepting new patients |
Locations
1000 W Crosby Rd
Ste 136
Carrollton, TX 75006
Phone (972) 237-0100
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Southlake, TX
- NPI 1821374687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1376080481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W CROSBY RD STE 136",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066904",
"telephone_number": "972-237-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W CROSBY RD STE 136",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "75006",
"telephone_number": "972-237-0100"
}
],
"practiceLocations": [
{
"address_1": "2425 E Southlake Blvd",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760926674",
"country_code": "US",
"telephone_number": "817-442-0222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENA ARCINEDA",
"first_name": "MARTHA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "119095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS",
"identifier": "119095",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.