Active NPI
Martin Allen Fees, MSPT
- Physical Therapist
- Gettysburg, PA
National Provider Identifier
1043273030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010619L
- Practice address
- 16C Deatrick Drive
Gettysburg, PA 17325-3401 - Phone
- (717) 337-3300
- Fax
- (717) 337-2977
- NPI assigned
- Apr 10, 2006
- Last updated
- Aug 11, 2009
- Sex
- Male
- 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 | PT010619L | PA | Primary |
Addresses
Primary practice location
16C Deatrick Drive
Gettysburg, PA 17325-3401
Mailing address
16C Deatrick Dr
Gettysburg, PA 17325-6958
Phone (717) 337-3300
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0681723000 | Other | PA | PERSONAL CHOICE |
| 2131536 | Other | PA | AETNA |
| 4411992 | Other | PA | AETNA |
| 54496403 | Other | PA | CAREFIRST BLUE SHIELD |
| 0016893630004 | Medicaid | PA | |
| T7090002 | Other | PA | CAREFIRST |
| 474461 | Other | PA | HIGHMARK BLUE SHIELD |
| 01855701 | Other | PA | CAPITAL BLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Gettysburg Hospital | Past | Accepting new patients | |
| Go Sport Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Gettysburg, PA
- NPI 1891753752
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1043273030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16C DEATRICK DR",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173256958",
"telephone_number": "717-337-3300",
"fax_number": "717-337-2977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16C DEATRICK DRIVE",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173253401",
"telephone_number": "717-337-3300",
"fax_number": "717-337-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEES",
"first_name": "MARTIN",
"middle_name": "ALLEN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010619L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0681723000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2131536",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4411992",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE SHIELD",
"identifier": "54496403",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016893630004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "T7090002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "474461",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS",
"identifier": "01855701",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.