Individual provider Active NPI

Codi Kay Martin, OTR/L

  • Occupational Therapist
  • Columbus, OH
National Provider Identifier
1639476062
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6649 Issued in OH
Practice address
1210 Gemini PL Ste 200
Columbus, OH 43240-6110
Phone
(614) 262-0907
Fax
(614) 262-5269
NPI assigned
Feb 21, 2011
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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 6649 OH Primary

Addresses

Primary practice location

1210 Gemini PL Ste 200
Columbus, OH 43240-6110

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Other names 1

  • Codi Kay Kesslerck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001482 OH Practitioner - Occupational Therapist in Private Practice 2062798820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Hand Therapy LLCGroup PAC ID 3072427517, 5 clinicians

Practice addresses (Care Compare)

1210 Gemini PL
Suite 200
Columbus, OH 43240-6110
Phone (614) 262-0907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6649OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Hand Therapy LLC CurrentSince Dec 21, 2019 Accepting new patients
Outpatient at Home LLC CurrentSince Sep 10, 2025 Accepting new patients
Columbus Physical Therapy, LLC PastSince Sep 10, 2025 Accepting new patients

Locations

1210 Gemini Pl
Ste 200
Columbus, OH 43240
Phone (614) 262-0907

965 High St
Worthington, OH 43085
Phone (614) 327-2362

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1639476062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 GEMINI PL STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406110",
            "telephone_number": "614-262-0907",
            "fax_number": "614-262-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CODI",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODI",
            "last_name": "KESSLERCK",
            "middle_name": "KAY",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.