Active NPI
Jennifer Lynn Martin, MSPT
- Physical Therapist
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2219
- Practice address
- 2700 Vine St.
El Dorado, AR 71730 - Phone
- (870) 862-1144
- NPI assigned
- Jul 16, 2007
- Last updated
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 2219 | AR | Primary |
Addresses
Primary practice location
2700 Vine St.
El Dorado, AR 71730
Mailing address
2700 Vine St.
El Dorado, AR 71730
Phone (870) 862-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- El Dorado, AR
- NPI 1295019321
Physical Therapist
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1023217486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 VINE ST.",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-862-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 VINE ST.",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-862-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 2219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.