Healthcare Provider Details

I. General information

NPI: 1427006998
Provider Name (Legal Business Name): MARTA BRINKLEY OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 GULF BREEZE PKWY STE 209
GULF BREEZE FL
32561-7808
US

IV. Provider business mailing address

11945 SAN JOSE BLVD STE 300
JACKSONVILLE FL
32223-1627
US

V. Phone/Fax

Practice location:
  • Phone: 850-916-3700
  • Fax: 850-916-8499
Mailing address:
  • Phone: 904-396-1725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT2009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: