Individual provider Active NPI

James Frank Martin, C.O.T.A.

  • Occupational Therapy Assistant
  • Suffern, NY
National Provider Identifier
1396045480
Registry record updated Oct 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09014600 Issued in NJ
Practice address
111 Lime Kiln Rd
Suffern, NY 10901-2601
Phone
(845) 354-4625
NPI assigned
Oct 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2010

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 46TA09014600 NJ Primary
Occupational Therapy Assistant 224Z00000X 004776 NY

Addresses

Primary practice location

111 Lime Kiln Rd
Suffern, NY 10901-2601

Mailing address

111 Lime Kiln Rd
Suffern, NY 10901-2601
Phone (845) 354-4625

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

LicenseStateTypeSpecialty
46TA09014600NJMDOccupational Therapy Assistant
004776NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287878400000",
    "number": "1396045480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LIME KILN RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012601",
            "telephone_number": "845-354-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LIME KILN RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109012601",
            "telephone_number": "845-354-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09014600",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "004776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; 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.