Individual provider Active NPI

Liliana Consuelo Martinez, M.S.,OTR/L

  • Pediatric Occupational Therapist
  • Bronx, NY
National Provider Identifier
1821235805
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
011108 Issued in NY
Practice address
384 E 149TH St
Suite 614
Bronx, NY 10455-3908
Phone
(718) 585-0614
Fax
(718) 993-4999
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 011108 NY Primary

Addresses

Primary practice location

384 E 149TH St
Suite 614
Bronx, NY 10455-3908

Mailing address

1818 Bushwick Ave
Merrick, NY 11566-2941
Phone (516) 208-9922

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
011108NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skills to Be a Kid, OT Services, PLLC Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1821235805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 BUSHWICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662941",
            "telephone_number": "516-208-9922",
            "fax_number": "516-208-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E 149TH ST",
            "address_2": "SUITE 614",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553908",
            "telephone_number": "718-585-0614",
            "fax_number": "718-993-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LILIANA",
        "middle_name": "CONSUELO",
        "name_prefix": "Mrs.",
        "credential": "M.S.,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.