Jennifer Lynn Martin, MSPT
Individual provider Active NPI Physical Therapist · El Dorado, AR
NPI 1023217486 · NPPES record last updated Dec 2, 2010
Key facts
- NPI
- 1023217486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 2219 (AR)
- Practice address
- 2700 Vine St.
El Dorado, AR 71730 - Phone
- (870) 862-1144
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Precision One Therapy and Associates
Practice addresses (Care Compare)
3286 W Hillsboro St
El Dorado, AR 71730-6734
Phone (870) 725-2497
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.34 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080306000299 | AR | Practitioner - Physical Therapist in Private Practice | 0749365328 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2219 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision One Therapy & Associates | Physical Therapist | Current |
Accepting new patients |
| South Arkansas Physician Services LLC | Past | Accepting new patients |
Locations
726 California Ave SW
Camden, AR 71701
Phone (870) 836-1301
3286 W Hillsboro St
El Dorado, AR 71730
Phone (870) 725-2497
1373 Highway 79 167 Byp
Fordyce, AR 71742
Phone (870) 220-0021
4450 Smackover Hwy
Smackover, AR 71762
Phone (870) 725-2497
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/f76605c4-3372-458f-b443-765cba65564a
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 2219 | AR | Yes |
Addresses
Primary practice location
2700 Vine St.
El Dorado, AR 71730
Mailing address
2700 Vine St.
El Dorado, AR 71730
Phone (870) 862-1144
Other providers in El Dorado, AR
- Levi Nathaniel Maggard
- Wendi Makus
- Crystle Syon'Tze Malone
- Stephanie Renea Mann
- Denika Martin
- Kerri Leigh Marx
- Gregg L Massanelli
- Damaris Maxfield
- Lisa McAdams
- Kasey Leigh McClain
All providers in El Dorado, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.