Individual provider Active NPI

Kelvin Martin

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1013563899
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12475 Issued in TN
Practice address
3965 S Mendenhall Rd Ste 20
Memphis, TN 38115-5954
Phone
(901) 620-3900
NPI assigned
Aug 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12475 TN Primary

Addresses

Primary practice location

3965 S Mendenhall Rd Ste 20
Memphis, TN 38115-5954

Mailing address

3965 S Mendenhall Rd Ste 20
Memphis, TN 38115-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220815003617 TN Practitioner - Physical Therapist in Private Practice 1052794690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonow, PLLCGroup PAC ID 1254495708, 2 clinicians

Practice addresses (Care Compare)

4901 Raleigh Common Dr
Suite 200
Memphis, TN 38128-2478
Phone (901) 363-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12475TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthonow, PLLC CurrentSince Dec 30, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

9040 Carothers Pkwy
Ste A205
Franklin, TN 37067
Phone (615) 224-9590

4901 Raleigh Common Dr
Ste 200
Memphis, TN 38128
Phone (901) 363-3600

1501 12th Ave S
Nashville, TN 37203
Phone (615) 269-3461

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1853/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1013563899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 S MENDENHALL RD STE 20",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 S MENDENHALL RD STE 20",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155954",
            "telephone_number": "901-620-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.