Kristie Lee Martino, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00778500 Issued in NJ

Practice address

56 Main St Unit 1a
Southampton, NJ 08088-8896

Phone

(609) 388-4782

NPI assigned

Feb 7, 2019

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

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 and National Provider Directory roles.

• Balanced Child Pediatric Therapy

  • Multi-Specialty Clinic/Center
  • Lumberton, NJ
  • NPI 1962922856

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1861957409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FARMER DR",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011702",
            "telephone_number": "609-661-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MAIN ST UNIT 1A",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080888896",
            "telephone_number": "609-388-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "KRISTIE",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00778500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hometown Pharmacy LLC
• Hometown Pharmacy LLC
• Suzanne W Kutsmeda, MS, CCC-SLP, CBIS
• Amanda Paige Lardieri, MED, LAC, NCC
• Lura Munns, LCSW LLC
• Max Burger MD LLC
• Fayez Mikhail, MD
• Gerald D Mingin Jr., PH.D. & PSY.D.
• Olivia Moore, RDN
• Matt Morris, DPT

• Occupational Therapist in Southampton, NJ
• Providers in Southampton, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.