Active NPI
Martha Lynn Wilson, MOT, OTR/L
- Occupational Therapist
- Daleville, VA
National Provider Identifier
1467245332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119010938
- Practice address
- 65 Shenandoah Drive
Suite 201
Daleville, VA 24083-3205 - Phone
- (540) 591-7514
- NPI assigned
- May 23, 2025
- Last updated
- Jun 19, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.OT.70116120 | WA | |
| Occupational Therapist | 225X00000X | 0119010938 | VA | Primary |
| Occupational Therapist | 225X00000X | OT.0009275 | CO |
Addresses
Primary practice location
65 Shenandoah Drive
Suite 201
Daleville, VA 24083-3205
Mailing address
806 Wasena Ave SW Apt 425
Roanoke, VA 24015-5354
Phone (952) 693-6429
Other practice location 1
1315 2nd St SW Ste 202
Roanoke, VA 24016-4935
Phone (540) 982-2208
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 |
|---|---|---|---|
| 0119010938 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapies of Roanoke, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1063282184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1467245332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 WASENA AVE SW APT 425",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240155354",
"telephone_number": "952-693-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SHENANDOAH DRIVE",
"address_2": "SUITE 201",
"city": "DALEVILLE",
"state": "VA",
"postal_code": "240833205",
"telephone_number": "540-591-7514"
}
],
"practiceLocations": [
{
"address_1": "1315 2nd St SW Ste 202",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240164935",
"country_code": "US",
"telephone_number": "540-982-2208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MARTHA",
"middle_name": "LYNN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-23",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT.OT.70116120",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119010938",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "OT.0009275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daleville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.