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

Kimberly Jean Martin, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1467963827

Kimberly Jean Martin, COTA/L is an Occupational Therapy Assistant in Walton, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

121 Stockton Ave
Walton, NY 13856-1430
Phone: (607) 865-2155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7117 E State Route 64, Chana, IL 61015-9641 — (616) 366-6495

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003675 (IL)

Record details

NPI number1467963827
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedOctober 12, 2017
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025