Amy J Martin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2001000715 Issued in MO

Practice address

Higbee R-VIII
101 Evans
Higbee, MO 65257-0128

Phone

(660) 263-5979

Fax

(660) 263-5179

NPI assigned

Mar 19, 2007

Last updated

Feb 20, 2009By 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

Other identifiers 1

Other names 1

• Amy J Poll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Higbee Cons SCH Dist R 8

  • Local Education Agency (LEA)
  • Higbee, MO
  • NPI 1225178015

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1598889032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 COUNTY ROAD 2320",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "65270",
            "telephone_number": "660-263-5979",
            "fax_number": "660-263-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGBEE R-VIII",
            "address_2": "101 EVANS",
            "city": "HIGBEE",
            "state": "MO",
            "postal_code": "652570128",
            "telephone_number": "660-263-5979",
            "fax_number": "660-263-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001000715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475302568",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "POLL",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Freeman
• Higbee Cons SCH Dist R 8
• Homestead Independent Supported Living LLC
• Allison L Minor, M.S CF-SLP

• Occupational Therapist in Higbee, MO
• Providers in Higbee, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.