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

MS. Kim Ellen Martin, OTLCHT

Individual provider Occupational Therapist · NPI 1902862873

MS. Kim Ellen Martin, OTLCHT is an Occupational Therapist in Private Practice in Naples, Florida. Qualified in 1979, 47 years ago. Practices with Sportscare Physical Therapy @ Cornell, LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
47
Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

3466 Pine Ridge Rd Ste A
Naples, FL 34109-3883
Phone: (239) 261-2663
Fax: (239) 262-5633
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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 0244 (AZ)

Record details

NPI number1902862873
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTLCHT
Sole proprietorNo
NPI enumeratedApril 21, 2006
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Sportscare Physical Therapy @ Cornell, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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