Marina Chang Martinez, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

5201007009 Issued in MI

Practice address

3601 Grapevine Mills Pkwy Apt 1916
Grapevine, TX 76051-1973

Phone

(586) 883-0319

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Marina Songlue Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1982989299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27676 PIERCE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763568",
            "telephone_number": "586-883-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 GRAPEVINE MILLS PKWY APT 1916",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511973",
            "telephone_number": "586-883-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARINA",
        "middle_name": "CHANG",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "114418",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201007009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "CHANG",
            "middle_name": "SONGLUE",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Aleece Martin, MS, CCC-SLP
• Gregory Martin, DDS
• Stephanie Martin
• Diana Teresa Martinez, PA-C
• Erica Martinez, OTD
• Timothy Austin Martinez, DPT
• Robert Marwood, P.T.
• Mary Oladunni Baiyeri M.D., P.a
• Melinda Jeanne Mashburn, RN, CPNP
• Tabetha Maslow, MSN, APRN, FNP-C

• Physical Rehabilitation Occupational Therapist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physical Rehabilitation Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.