Anna Katherine Martin, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6366 Issued in AL

Practice address

651 Main St Ste 147
Gardendale, AL 35071-2790

Phone

(659) 246-5150

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theraplay Pediatric Sensory Gym

  • Speech-Language Pathologist
  • Cullman, AL
  • NPI 1770068264
  NPD (past)

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1740005412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 MAIN ST STE 147",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712790",
            "telephone_number": "659-246-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 MAIN ST STE 147",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712790",
            "telephone_number": "659-246-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "6366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Gray Pond DMD LLC (Leesa K Rogers DMD and Maggie G. Pond DMD)
• Annette Maria Magro, OTD, OTR/L
• Courtney Alyce Malloy, MA, BCBA, LBA
• Shannon Elizabeth Manthey
• Kristin Marcrum, LPTA
• Susan Mason
• Tiffany Matthews
• Anna J Mauldin
• Francesca Marie McBride-Valadez
• Marguerite McCowan

• Pediatric Occupational Therapist in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.