Martin Ventures LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MARTIN VENTURES LLC

Practice address

3119 S Scenic Ave Ste B
Springfield, MO 65807-3965

Phone

(417) 402-0302

NPI assigned

Jun 21, 2020

Organization subpart

No

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

Authorized official

Name

Chance MartinNPI 1932518768

Title

Owner

Phone

(417) 402-0302

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chance Martin, DPT

  • Physical Therapist
  • Springfield, MO
  • NPI 1932518768
  NPD Authorized official

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1043836588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 W STANFORD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658027773",
            "telephone_number": "417-402-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 S SCENIC AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073965",
            "telephone_number": "417-402-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-402-0302"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "2014019578",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pteverywhere.com",
            "affiliation": "N",
            "endpointDescription": "online secure HIPAA compliant patient portal, EMR, and messaging service",
            "address_1": "3119 S Scenic Ave Ste B",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658073965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Dawn Marshall, MS, LPC
• Jacquelyn B Marshall, CRNA
• Marla Rhea Marshall, SLP
• Pamela S Marshall, LPC
• Richard Thomas Martens, DMD
• Alexa Martin, FNP
• Alicia Leslie Martin, C-NPT, NNP-BC
• Barry Dean Martin
• Blake Andrew Martin, P.A.
• Chance Martin, DPT

• Physical Therapy Clinic/Center in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.