Individual provider Active NPI

Kathryn Dian Martin, OTD, OTR

  • Pediatric Occupational Therapist
  • Brownsburg, IN
National Provider Identifier
1659923183
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
31006907A Issued in IN
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

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
31006907AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Theraplay Foundation, Inc. Occupational Therapist PastSince Jul 25, 2019 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.

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.

Verify at the official NPI Registry.