Active NPI
Brianna Martin, OT
- Occupational Therapist
- Hastings on Hudson, NY
National Provider Identifier
1437647112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 399359
- Practice address
- 185 Old Broadway
Hastings on Hudson, NY 10706-3801 - Phone
- (914) 478-3700
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 399359 | MN | Primary |
Addresses
Primary practice location
185 Old Broadway
Hastings on Hudson, NY 10706-3801
Mailing address
22251 172ND St NW
Big Lake, MN 55309-5110
Phone (612) 749-5514
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 |
|---|---|---|---|
| 399359 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1437647112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22251 172ND ST NW",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553095110",
"telephone_number": "612-749-5514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 OLD BROADWAY",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107063801",
"telephone_number": "914-478-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRIANNA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "399359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hastings on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.