Healthcare Provider Details

I. General information

NPI: 1730843103
Provider Name (Legal Business Name): KAREN STEPHANIE MARTINEZ OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W MERRICK RD
FREEPORT NY
11520-3712
US

IV. Provider business mailing address

245 NEWTOWN RD
PLAINVIEW NY
11803-4316
US

V. Phone/Fax

Practice location:
  • Phone: 516-379-0900
  • Fax:
Mailing address:
  • Phone: 516-802-2518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number27636
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number026133
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: