Individual provider Active NPI

Tara Marie Martello, MS, OTRL

  • Occupational Therapist
  • Delray Beach, FL
National Provider Identifier
1891996021
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21580 Issued in FL
Practice address
2900 Salerno Way
Delray Beach, FL 33445-7148
Phone
(561) 501-1983
Fax
(561) 270-6965
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OC008357 PA
Pediatric Occupational Therapist 225XP0200X 46TR00316400 NJ
Occupational Therapist 225X00000X OT21580 FL Primary

Addresses

Primary practice location

2900 Salerno Way
Delray Beach, FL 33445-7148

Mailing address

2900 Salerno Way
Delray Beach, FL 33445-7148
Phone (561) 501-1983

Other practice location 1

860 N Bambrey St
Philadelphia, PA 19130-1825
Phone (215) 284-0139

Other identifiers 1

IdentifierTypeStateIssuer
109803400MedicaidFL

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
OT21580FLMDOccupational Therapist
46TR00316400NJMDPediatric Occupational Therapist
OC008357PAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
F.I.T. PT, LLC Occupational Therapist CurrentSince Jun 6, 2021 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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1891996021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SALERNO WAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457148",
            "telephone_number": "561-501-1983",
            "fax_number": "561-270-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SALERNO WAY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457148",
            "telephone_number": "561-501-1983",
            "fax_number": "561-270-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 N Bambrey St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191301825",
            "country_code": "US",
            "telephone_number": "215-284-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTELLO",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "MS, OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC008357",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00316400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109803400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.