Individual provider Active NPI

Martha Lucila Vera Hovestol, PT

  • Pediatric Physical Therapist
  • Owensboro, KY
National Provider Identifier
1073195509
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT-005935 Issued in KY
Practice address
5667 Jones Rd
Owensboro, KY 42303-9559
Phone
(209) 531-6795
Fax
(209) 531-6795
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 771 HI
Pediatric Physical Therapist 2251P0200X PT-005935 KY Primary

Addresses

Primary practice location

5667 Jones Rd
Owensboro, KY 42303-9559

Mailing address

5667 Jones Rd
Owensboro, KY 42303-9559
Phone (209) 531-6795

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
771HIMDPediatric Physical Therapist
PT-005935KYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy LLC Pediatrics PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1073195509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 JONES RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039559",
            "telephone_number": "209-531-6795",
            "fax_number": "209-531-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 JONES RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039559",
            "telephone_number": "209-531-6795",
            "fax_number": "209-531-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVESTOL",
        "first_name": "MARTHA",
        "middle_name": "LUCILA VERA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "HI",
            "license": "771",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "PT-005935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.