KELLEY MARTIN OTRL
NPI 1194817643
Occupational Therapist in Hickory, NC

Active since September 29, 2006
1849 TATE BLVD SE, HICKORY, NC 28602(283) 580-9768(866) 750-0856 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelley Martin Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY MARTIN OTRL (NPI 1194817643) is an individual occupational therapist in Hickory, North Carolina, licensed in Ohio (OT4969) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1194817643
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLEY MARTINCredential: OTRL
Location Address1849 TATE BLVD SEHickory, NC 28602
Mailing Address1849 Tate Blvd SeHickory, NC 28602 · (283) 580-9768 · Fax (866) 750-0856
Fax(866) 750-0856
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1194817643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in OH · OT4969
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1849 TATE BLVD SE, Hickory, NC 28602

Other Identifiers 1

Medicaid7255198OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Martin Otrl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kelley Martin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
4101 GLENLOCH CIR
Matthews, NC 28105
  • Reassigned Medicare billing, North Carolina enrollment
  • 41 clinicians in this Medicare group
Rehabilitation
303 N HURSTBOURNE PKWY STE 200
Louisville, KY 40222
  • Reassigned Medicare billing, North Carolina enrollment
  • 165 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Martin's NPI number?

The NPI number for Kelley Martin is 1194817643. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Kelley Martin located?

Kelley Martin practices at 1849 Tate Blvd SE, Hickory, NC 28602. The listed phone number is (283) 580-9768.

What is Kelley Martin's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kelley Martin enrolled in Medicare?

Yes. Kelley Martin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelley Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Martin reassigns Medicare benefits to 2 organizations: Fox Rehab Ot Nc LLC (Matthews, NC) and Paragon Outpatient Rehabilitation Services, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Martin was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.