Teresa Martin

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2018015033 Issued in MO

Practice address

12100 Wornall Rd
Kansas City, MO 64145-1764

Phone

(816) 572-0014

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1508419730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N INCA DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640561228",
            "telephone_number": "816-572-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451764",
            "telephone_number": "816-572-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2018015033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Martin, PT, DPT
• Sean Michael Martin, PA-C
• Stacey Martin, MA, BCBA, LBA
• Susan E Martin, NP
• Temme L Martin, FNP
• Tessa Martin, NP
• Santiago Martinez-Jimenez, MD
• Amanda Martinez, LPC
• Analisa Rose Martinez
• Anna Martinez, AA-C

• Occupational Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.