Individual provider Active NPI

Martin Ball, RPT

  • Physical Therapist
  • North Bay Village, FL
National Provider Identifier
1083641047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10683 Issued in FL
Practice address
7601 E Treasure Dr
503
North Bay Village, FL 33141-4300
Phone
(786) 331-7444
Fax
(305) 675-2755
NPI assigned
Jun 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT10683 FL Primary

Addresses

Primary practice location

7601 E Treasure Dr
503
North Bay Village, FL 33141-4300

Mailing address

7601 E Treasure Dr
North Bay Village, FL 33141-4300
Phone (786) 331-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216001344 FL Practitioner - Physical Therapist in Private Practice 0143524587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4445 W 16TH Ave
Suite 505
Hialeah, FL 33012-2960
Phone (786) 701-3181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JL Physical Therapy Inc CurrentSince Nov 6, 2017 Accepting new patients
Magui Rehabilitation Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

4445 W 16th Ave
Ste 505
Hialeah, FL 33012
Phone (305) 825-2258

8150 SW 8th St
Ste 212
Miami, FL 33144
Phone (305) 261-2492

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083641047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 E TREASURE DR",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414300",
            "telephone_number": "786-331-7444",
            "fax_number": "305-675-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 E TREASURE DR",
            "address_2": "503",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414300",
            "telephone_number": "786-331-7444",
            "fax_number": "305-675-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.