Active NPI
Thomas Foster Martin Jr., C.P.O
- Prosthetics Case Management
- Anderson, SC
National Provider Identifier
1083745558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 1245288745
- Practice address
- 1113 N Fant St
Anderson, SC 29621-4819 - Phone
- (864) 225-1683
- Fax
- (864) 231-7374
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 1245288745 | SC | Primary |
Addresses
Primary practice location
1113 N Fant St
Anderson, SC 29621-4819
Mailing address
1010 Hobby LN
Anderson, SC 29621-3547
Phone (864) 224-5446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1943 | Medicaid | SC | |
| 00926428A | Other | GA | GEORGIA MEDICAID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1245288745 | SC | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Prosthetics & Orthotics, LLC | Past | Accepting new patients | |
| Anderson Prosthetics & Orthotics LLC | Past | 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.
-
- Prosthetic/Orthotic Supplier
- Greenville, SC
- NPI 1285890574
-
dba ForMotion Clinic
- Prosthetic/Orthotic Supplier
- Anderson, SC
- NPI 1245288745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083745558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 HOBBY LN",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213547",
"telephone_number": "864-224-5446",
"fax_number": "864-231-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296214819",
"telephone_number": "864-225-1683",
"fax_number": "864-231-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"middle_name": "FOSTER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "C.P.O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "SC",
"license": "1245288745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE1943",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAID",
"identifier": "00926428A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.