Individual provider Active NPI

Ashley Gully Martin, OTR/L

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1497425235
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122062 Issued in TX
Practice address
17200 State Highway 249 Ste 150
Houston, TX 77064-1319
Phone
(281) 664-6900
Fax
(281) 374-1788
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 122062 TX Primary

Addresses

Primary practice location

17200 State Highway 249 Ste 150
Houston, TX 77064-1319

Mailing address

31 Catalina CT
Manvel, TX 77578-1569
Phone (832) 512-9416

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
122062TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Health, Inc. CurrentSince Sep 23, 2021 Accepting new patients

Locations

17200 Tomball Pkwy
Ste 150
Houston, TX 77064
Phone (281) 664-1990

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1497425235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CATALINA CT",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781569",
            "telephone_number": "832-512-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 STATE HIGHWAY 249 STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641319",
            "telephone_number": "281-664-6900",
            "fax_number": "281-374-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ASHLEY",
        "middle_name": "GULLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.