Peter Martin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63233 Issued in OR

Practice address

6250 Commercial St SE
Salem, OR 97306-2988

Phone

(503) 877-4974

Fax

(503) 822-0328

NPI assigned

May 29, 2019

Reactivated

Jun 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon Physical Therapy LLCGroup PAC ID 6901260165, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carbon Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1710682240

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1073171716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 LIBERTY RD S # 2032",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025037",
            "telephone_number": "503-877-4974",
            "fax_number": "503-822-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 COMMERCIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062988",
            "telephone_number": "503-877-4974",
            "fax_number": "503-822-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "deactivation_date": "2023-05-23",
        "reactivation_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1891",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500763724",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Martin
• Lori Michelle Martin, PMHNP-BC
• Masen Martin, NP
• Matthew Paul Martin, DMD
• Michael Kelly Martin
• Rachel Martin
• Robin Nash Martin, LMT#19793
• Sarah Anne Martin, CADC-R
• Carmen Martinez Valenzuela
• Shalysa Martinez-Bryant

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.

Verify at the official NPI Registry.