CODI KAY MARTIN (OTR/L) – Occupational Therapist, NPI 1639476062

CODI KAY MARTIN (OTR/L) is a healthcare provider. based in Bolingbrook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 6649 (OH). The NPI Number for CODI KAY MARTIN (OTR/L) is 1639476062

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CODI KAY MARTIN (OTR/L)
NPI
1639476062
Phone
(630) 296-2222
Address
790 REMINGTON BLVD
Enumeration Date
21 February 2011
Last Update Date
9 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142620907
Graduation Year
2005 (21 years ago)
PAC ID
2062798820
Group Practice PAC ID
3072427517
Professional Enrollment ID
I20200117001482
Address ID
OH432406110CO1210XPLXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

499 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for CODI KAY MARTIN (OTR/L)

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2222

    Type: Mailing

  • 1210 GEMINI PL STE 200

    COLUMBUS, OH 432406110

    Phone: (614) 262-0907

    Fax: (614) 262-5269

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-01-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200117001482IOccupational Therapist In Private PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24649$0
97530Therapy procedure using functional activities9824$0
97140Therapy procedure using manual technique, each 15 minutes7931$0
97165Evaluation for occupational therapy, typically 30 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072427517View full group profile
NameSpecialtyState
-OH
-OH
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for CODI KAY MARTIN (OTR/L)?
CODI KAY MARTIN (OTR/L) — NPI 1639476062 — is the standard way to identify this listing.
Is CODI KAY MARTIN (OTR/L) listed as active for patients and plans?
The listing shows CODI KAY MARTIN (OTR/L) as active in the NPI system.
What is CODI KAY MARTIN (OTR/L)'s specialty?
The listing groups CODI KAY MARTIN (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What area does CODI KAY MARTIN (OTR/L) serve?
CODI KAY MARTIN (OTR/L)'s listing highlights Bolingbrook, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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