Martin Keith Foote, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008967 Issued in MI

Practice address

1325 S Otsego Ave
Gaylord, MI 49735-7749

Phone

(989) 705-2700

Fax

(989) 705-2727

NPI assigned

Oct 16, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aspen Physical Therapy, Inc.

  • Physical Therapist
  • Gaylord, MI
  • NPI 1023193497
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1104015114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497340519",
            "telephone_number": "989-705-2700",
            "fax_number": "989-705-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357749",
            "telephone_number": "989-705-2700",
            "fax_number": "989-705-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "MARTIN",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Fitzpatrick
• Alexis Ann Flaherty, M.S., CCC-SLP
• FMG Random Lane Michigan LLC
• FMG Random Lane Michigan LLC
• Jon S Foltz, MD
• Gracie Ford
• Forsyth Family Dentistry, P.C.
• Jennifer Foster, MSW
• Kala Foster, DDS
• Zachary Fournier, PHARMD

• Physical Therapist in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.