Active NPI
Kevin Charles Martin, PT
- Physical Therapist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9081
- Practice address
- 170 Taylor Station Rd Ste 220
Columbus, OH 43213-4491 - Phone
- (614) 866-8158
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9081 | OH | Primary |
Addresses
Primary practice location
170 Taylor Station Rd Ste 220
Columbus, OH 43213-4491
Mailing address
457 Woodview Rd
Westerville, OH 43081-3050
Phone (614) 795-5550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7047 Hamilton Mason Rd
West Chester, OH 45069-1424
Phone (513) 847-1546
800 Yard St
Suite 300
Grandview Heights, OH 43212-3882
Phone (614) 866-8158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9081 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Home Health Care, LLC | Physical Therapist | Current | Accepting new patients |
| Affordable Home Health Care, LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
170 Taylor Station Rd
Ste 220
Columbus, OH 43213
Phone (614) 348-7597
800 Yard St
Ste 300
Grandview Heights, OH 43212
Phone (614) 866-8158
Organizations & group practices 4
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.
-
- Physical Therapist
- Columbus, OH
- NPI 1457216277
-
- Physical Therapist
- West Chester, OH
- NPI 1174153266
-
- Home Health Agency
- Grandview Heights, OH
- NPI 1861413999
Physical Therapist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1093347700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 WOODVIEW RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813050",
"telephone_number": "614-795-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 TAYLOR STATION RD STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432134491",
"telephone_number": "614-866-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KEVIN",
"middle_name": "CHARLES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "9081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.