Martina L Brady, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001371 Issued in NY

Practice address

1983 Marcus Ave Ste 117
New Hyde Park, NY 11042-1016

Phone

(516) 297-0079

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Martina L Luce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013924554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NORTH ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461354",
            "telephone_number": "516-426-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE 117",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "516-297-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Copiague",
            "state": "NY",
            "postal_code": "117264904",
            "country_code": "US",
            "telephone_number": "631-842-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MARTINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "LUCE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Riddhi Bowry, MD
• Angelique Boyer
• Anthony Thomas Bozza, MD
• James Paul Bradley, MD
• Amanda Brady
• Vito Joseph Brancato, D.D.S.
• Nancy E Brand, D.C.
• Lisa Brandt, M.D.
• Eliza N Brant, LMHC
• Alesha Brantley, RN

• Athletic Trainer in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.