Individual provider Active NPI

Kevin Charles Martin, PT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1093347700
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9081 Issued in OH
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

Updated by the provider on Feb 11, 2020

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 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

Enrollment IDStateProvider typePAC IDDetails
I20221228000205 OH Practitioner - Physical Therapist in Private Practice 8527438043 Reassigns benefits to 2 organizations

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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Affordable Home Health Care LLCGroup PAC ID 9739192147, 42 clinicians

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

LicenseStateTypeSpecialty
9081OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Home Health Care, LLC Physical Therapist CurrentSince Nov 27, 2022 Accepting new patients
Affordable Home Health Care, LLC Physical Therapist CurrentSince Nov 27, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Aug 25, 2025 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.

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.

Verify at the official NPI Registry.