Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andy Ty Martinez, OTR/L

Individual provider Occupational Therapist · NPI 1528667920

Andy Ty Martinez, OTR/L is an Occupational Therapist in Private Practice in Broken Arrow, Oklahoma. Qualified in 2020, 6 years ago. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2221 W Detroit St
Broken Arrow, OK 74012-3628
Phone: (918) 615-6492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5491 (OK)

Record details

NPI number1528667920
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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