Active NPI
Inez A Martin, OTR
- Occupational Therapist
- Lancaster, WI
National Provider Identifier
1467623595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2770-026
- Practice address
- 507 S Monroe St
Lancaster, WI 53813-2054 - Phone
- (608) 723-3236
- Fax
- (608) 723-3379
- NPI assigned
- Mar 17, 2008
- 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 | 2770-026 | WI | Primary |
Addresses
Primary practice location
507 S Monroe St
Lancaster, WI 53813-2054
Mailing address
507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-3236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40822000 | Medicaid | WI |
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 |
|---|---|---|---|
| 2770-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Grant, Office of Clerk Dba Unified Community Services | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lancaster, WI
- NPI 1790939627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1467623595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S MONROE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132054",
"telephone_number": "608-723-3236",
"fax_number": "608-723-3379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MONROE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132054",
"telephone_number": "608-723-3236",
"fax_number": "608-723-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "INEZ",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2770-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40822000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.