DAVIS MARTIN — NPI 1689366262 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in WOODSTOCK, GA)

CMS-1500 Box 24J / 33a • NPI

1689366262

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225X00000X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

4580 TOWNE LAKE PKWY, WOODSTOCK, GA, 30189-5521

✓ 9-Digit EDI 837 ZIP+4 (30189-5521)

Practice Phone & Referral Fax

(678) 771-6459

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689366262 (DAVIS MARTIN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689366262` (NPI-1 Individual Practitioner)
Provider / Legal Name	DAVIS MARTIN
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225X00000X` (Occupational Therapist)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	4580 TOWNE LAKE PKWY, WOODSTOCK, GA, 30189-5521
Practice Telephone / Fax	Tel: (678) 771-6459
Administrative Mailing Address	2508 AYCOCK CEMETERY ROAD, LEIGHTON, AL, 35646
Enumeration & Last Sync	Enumerated: 2023-05-23 \| CMS Record Updated: 2023-05-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4580 TOWNE LAKE PKWY, WOODSTOCK, GA, 30189-5521

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Plain-English Taxonomy & CMS Crosswalk (225X00000X)

What Does Taxonomy Code 225X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DAVIS MARTIN)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: AL \| License: `489346` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DAVIS MARTIN (NPI #1689366262)