Active NPI
Andrew Brian Martina, OTR/L
- Occupational Therapist
- Fountain Hills, AZ
National Provider Identifier
1770858268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5077
- Practice address
- 16455 E Avenue of the Fountains
Fountain Hills, AZ 85268-8307 - Phone
- (480) 630-3046
- NPI assigned
- Mar 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5077 | AZ | Primary |
Addresses
Primary practice location
16455 E Avenue of the Fountains
Fountain Hills, AZ 85268-8307
Mailing address
15440 N 71St St
#328
Scottsdale, AZ 85254-2197
Phone (425) 330-9092
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5077 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1770858268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15440 N 71ST ST",
"address_2": "#328",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852542197",
"telephone_number": "425-330-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 E AVENUE OF THE FOUNTAINS",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852688307",
"telephone_number": "480-630-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINA",
"first_name": "ANDREW",
"middle_name": "BRIAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.