Individual provider Active NPI

Martha Lynn Wilson, MOT, OTR/L

  • Occupational Therapist
  • Daleville, VA
National Provider Identifier
1467245332
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119010938 Issued in VA
Practice address
65 Shenandoah Drive
Suite 201
Daleville, VA 24083-3205
Phone
(540) 591-7514
NPI assigned
May 23, 2025
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0119010938VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapies of Roanoke, Inc. PastSince May 1, 2025 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.

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.

Verify at the official NPI Registry.