Victoria Martin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 17032 Issued in FL

Practice address

105 Mariner Health Way Ste 213
Saint Augustine, FL 32086-3251

Phone

(904) 217-4259

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Victoria Landis Former name

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.

• Home in Mind LLC

  • Occupational Therapist
  • Saint Augustine, FL
  • NPI 1073399283
  Medicare reassignment NPD
• Eat Play Learn Pediatric Therapy

  • Speech-Language Pathologist
  • Orange Park, FL
  • NPI 1144862533
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1750760435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 WHITE PINE LN",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865841",
            "telephone_number": "904-687-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY STE 213",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICTORIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 17032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014970600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "LANDIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela R Martin, D.M.D.
• Paul L. Martin Jr., PH.D.
• Tiffany Martin, LM, CPM
• Van Martin III
• Victoria Martin
• Amber Jill Martinez, M.S., CCC-SLP
• Emanuel Martinez, M.D.
• Jennifer Marie Martinez, RBT
• Michelle Cassandra Martinez
• Cody Martyn, RPH

• Occupational Therapist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.