Individual provider Active NPI

Martin Allen Fees, MSPT

  • Physical Therapist
  • Gettysburg, PA
National Provider Identifier
1043273030
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010619L Issued in PA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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 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

IdentifierTypeStateIssuer
0681723000OtherPAPERSONAL CHOICE
2131536OtherPAAETNA
4411992OtherPAAETNA
54496403OtherPACAREFIRST BLUE SHIELD
0016893630004MedicaidPA
T7090002OtherPACAREFIRST
474461OtherPAHIGHMARK BLUE SHIELD
01855701OtherPACAPITAL 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

OrganizationSpecialtyStatusNew patients
The Gettysburg Hospital Past Accepting new patients
Go Sport Physical Therapy Inc Physical Therapist PastSince Jun 1, 2008 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.

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.

Verify at the official NPI Registry.