Jackie Lynn Martin, otr/l
Occupational Therapist in Ashland, KY. Individual provider (NPI-1).
NPI number1487927752
StatusActive
Last updated in NPPESFeb 17, 2012
Details
- NPI
- 1487927752
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jackie Lynn Martin
- Credential
- otr/l
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2012
- Last updated
- Feb 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | R1895 | KY | Yes |
| 225XL0004X | Occupational Therapist, Low Vision | R1895 | KY | |
| 225XM0800X | Occupational Therapist, Mental Health | R1895 | KY | |
| 225XN1300X | Occupational Therapist, Neurorehabilitation | R1895 | KY | |
| 225XP0200X | Occupational Therapist, Pediatrics | R1895 | KY |
Practice location
901 Kilgore DrAshland, KY 41101-3118
Phone 606-831-8752
Mailing address
5052 Maid Marion CtAshland, KY 41101-6822
Phone 606-831-8752
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Occupational Therapist providers in Ashland · All 2,202 providers in Ashland
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