Active NPI
Martin Clarke
- Physical Therapist
- Germantown, MD
National Provider Identifier
1093939647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20822
- Practice address
- 19785 Crystal Rock Dr Ste 311
Germantown, MD 20874-4732 - Phone
- (301) 540-3529
- Fax
- (301) 540-3623
- NPI assigned
- Apr 13, 2007
- 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 | 20822 | MD | Primary |
Addresses
Primary practice location
19785 Crystal Rock Dr Ste 311
Germantown, MD 20874-4732
Mailing address
501 Fairmount Ave Ste 302
Towson, MD 21286-5494
Phone (410) 927-8768
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20822 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Zygielbaum, Inc. | Past | Accepting new patients | |
| Professional Sportscare & Rehab, LLC | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Bethesda, MD
- NPI 1649394982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1093939647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FAIRMOUNT AVE STE 302",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865494",
"telephone_number": "410-927-8768",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19785 CRYSTAL ROCK DR STE 311",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208744732",
"telephone_number": "301-540-3529",
"fax_number": "301-540-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.