Healthcare Provider Details

I. General information

NPI: 1760355879
Provider Name (Legal Business Name): ARIELLE MARTINEZ OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 CORPORATE DR
IRVING TX
75038-2509
US

IV. Provider business mailing address

228 PENNRIDGE DR
FORNEY TX
75126-6973
US

V. Phone/Fax

Practice location:
  • Phone: 214-591-0061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number119837
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: