Individual provider Active NPI

Adrienne Marlissa Martinez, OTR

  • Occupational Therapist
  • McAllen, TX
National Provider Identifier
1740588045
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
114053 Issued in TX
Practice address
3601 Buddy Owens
Suite 100
McAllen, TX 78504-3003
Phone
(956) 631-6200
Fax
(956) 631-1117
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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 114053 TX Primary

Addresses

Primary practice location

3601 Buddy Owens
Suite 100
McAllen, TX 78504-3003

Mailing address

3601 Buddy Owens
Suite 100
McAllen, TX 78504-3003
Phone (956) 631-6200

Other identifiers 1

IdentifierTypeStateIssuer
114053OtherTXLICENSE NUMBER

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
114053TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1740588045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS",
            "address_2": "SUITE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043003",
            "telephone_number": "956-631-6200",
            "fax_number": "956-631-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BUDDY OWENS",
            "address_2": "SUITE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043003",
            "telephone_number": "956-631-6200",
            "fax_number": "956-631-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ADRIENNE",
        "middle_name": "MARLISSA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "114053",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.