Carrie Lee Martin, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 12757 Issued in FL

Practice address

6200 Brandt St
Cocoa, FL 32927-8931

Phone

(407) 620-4423

NPI assigned

May 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Go-PT Inc.

  • Physical Therapist
  • Jupiter, FL
  • NPI 1295518553
  Medicare reassignment
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1700104759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BRANDT ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329278931",
            "telephone_number": "407-620-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BRANDT ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329278931",
            "telephone_number": "407-620-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CARRIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 12757",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mahaleris
• Jennifer Malave, BEHAVIORAL TECH
• Nadine Oma Malik, DMD
• Lindsay Michelle Malley, BS
• Teressa Mann
• Nelson Martinez Ramos, DC
• Debra Sue Matthews-Robinson, LCSW
• Tiffany N Maultsby, RN
• Talia Mauricio, RBT
• Marleny Marisol Mazariegos

• Occupational Therapist in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.