MS. KIM ELLEN MARTIN (OTL CHT) – Occupational Therapist, NPI 1902862873
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
366 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in AZ
Provider Addresses for MS. KIM ELLEN MARTIN (OTL CHT)
3466 PINE RIDGE RD STE A
NAPLES, FL 341093883
Phone: (239) 261-2663
Fax: (239) 262-5633
Type: Mailing
2960 N SWAN RD SUITE 216
TUCSON, AZ 85712
Phone: (520) 319-8660
Fax: (520) 319-9567
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230505001992 | I | Occupational Therapist In Private Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 326 | 29 | $0 |
| 97530 | Therapy procedure using functional activities | 151 | 29 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 116 | 14 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 12 | 12 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 34109)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | NV | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR |
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