Kim Ellen Martin, OTL CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0244 Issued in AZ

Practice address

3466 Pine Ridge Rd Ste a
Naples, FL 34109-3883

Phone

(239) 261-2663

Fax

(239) 262-5633

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare Physical Therapy @ Cornell, LLCGroup PAC ID 7517115579, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sportscare Physical Therapy @ Cornell, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1649534793
  Medicare reassignment Care Compare group NPD
• Armworks Hand Therapy, LLC

  • Customized Equipment (DME)
  • Lake Oswego, OR
  • NPI 1134777691
  NPD
• Armworks Hand Therapy, LLC

  • Occupational Therapist
  • Gresham, OR
  • NPI 1922371947
  NPD
• Sportscare Physical Therapy @ Cornell, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tigard, OR
  • NPI 1255190153

  Occupational Therapist

  NPD
• Hand in Hand Inc

  • Hand Occupational Therapist
  • Tuscon, AZ
  • NPI 1184790255
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1902862873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 PINE RIDGE RD STE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093883",
            "telephone_number": "239-261-2663",
            "fax_number": "239-262-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 PINE RIDGE RD STE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093883",
            "telephone_number": "239-261-2663",
            "fax_number": "239-262-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KIM",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "OTL CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "0244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0460790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nayma Martin Amaro
• Danielle Martin
• Giselle Martin, MD
• Ismael Martin, DO
• Kathleen R Martin
• Lauren S Martin, MS CCC/SLP
• Leighann Martin
• Lianne Riley Martin, PA-C
• P Jill Martin, P.T.
• Pedro Pablo Martin, M.D.

• Occupational Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.