Active NPI
Kathryn Dian Martin, OTD, OTR
- Pediatric Occupational Therapist
- Brownsburg, IN
National Provider Identifier
1659923183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 31006907A
- Practice address
- 4695 E Northfield Dr
Brownsburg, IN 46112-1784 - Phone
- (317) 520-4748
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31006907A | IN | |
| Pediatric Occupational Therapist | 225XP0200X | 31006907A | IN | Primary |
Addresses
Primary practice location
4695 E Northfield Dr
Brownsburg, IN 46112-1784
Mailing address
9919 Towne Rd
4695 E. Northfield Drive
Brownsburg, IN 46112
Other practice location 1
9919 Towne Rd
Carmel, IN 46032-8260
Phone (317) 872-4166
Other practice location 2
5455 W 56th St
Indianapolis, IN 46254-1301
Phone (317) 295-7200
Other practice location 3
7839 New Augusta Rd
Indianapolis, IN 46268-2238
Phone (317) 387-2200
Other names 1
- Kathryn Dian Mehrlich
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31006907A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Theraplay Foundation, Inc. | Occupational Therapist | Past | Accepting new patients |
| K1DS Count Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Carmel, IN
- NPI 1184757304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1659923183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9919 TOWNE RD",
"address_2": "4695 E. NORTHFIELD DRIVE",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "46112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4695 E NORTHFIELD DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461121784",
"telephone_number": "317-520-4748"
}
],
"practiceLocations": [
{
"address_1": "9919 Towne Rd",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460328260",
"country_code": "US",
"telephone_number": "317-872-4166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5455 W 56th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462541301",
"country_code": "US",
"telephone_number": "317-295-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7839 New Augusta Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462682238",
"country_code": "US",
"telephone_number": "317-387-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "KATHRYN",
"middle_name": "DIAN",
"credential": "OTD, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2022-06-03",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006907A",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IN",
"license": "31006907A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "MEHRLICH",
"middle_name": "DIAN",
"credential": "OTD, OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.