Active NPI
Kristi Martinez Immitt, OTR
- Occupational Therapist
- Plano, TX
National Provider Identifier
1467965764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 108444
- Practice address
- 2301 Marsh LN
Plano, TX 75093-8497 - Phone
- (972) 899-5510
- NPI assigned
- Nov 8, 2017
- 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 | 108444 | TX | Primary |
Addresses
Primary practice location
2301 Marsh LN
Plano, TX 75093-8497
Mailing address
5908 Pathfinder Dr
Plano, TX 75093-4525
Phone (972) 746-6654
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 |
|---|---|---|---|
| 108444 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1467965764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 PATHFINDER DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750934525",
"telephone_number": "972-746-6654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 MARSH LN",
"city": "PLANO",
"state": "TX",
"postal_code": "750938497",
"telephone_number": "972-899-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMMITT",
"first_name": "KRISTI",
"middle_name": "MARTINEZ",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.