Beth Ann Martin, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1147 Issued in TN

Practice address

3382 Andersonville Hwy
Andersonville, TN 37705-3816

Phone

(865) 494-0986

NPI assigned

Sep 21, 2019

Last updated

Sep 21, 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

Electronic endpoints 2

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": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1619528668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WILLOW RUN",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377162717",
            "telephone_number": "865-755-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3382 ANDERSONVILLE HWY",
            "city": "ANDERSONVILLE",
            "state": "TN",
            "postal_code": "377053816",
            "telephone_number": "865-494-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Laboratory Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306911",
            "country_code": "US",
            "telephone_number": "865-482-7698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CLINTON",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CLINTON",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CLINTON",
            "address_1": "3382 Andersonville Hwy",
            "city": "Andersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377053816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CLINTON",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3382 Andersonville Hwy",
            "city": "Andersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377053816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapy Assistant in Andersonville, TN
• Providers in Andersonville, TN by specialty
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.