Kyle Edwin Martinis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22262 Issued in MA

Practice address

65 Holbrook St Ste 130
Norfolk, MA 02056-1849

Phone

(774) 565-0796

Fax

(774) 565-8346

NPI assigned

Aug 27, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Long Pond Physical Therapy IncGroup PAC ID 6709873474, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Long Pond Physical Therapy, Inc

  • Physical Therapist
  • Plymouth, MA
  • NPI 1760695324
  Medicare reassignment Care Compare group NPD
• Platinum Physical Therapy, Inc.

  • Rehabilitation Practitioner
  • Ashland, MA
  • NPI 1417010174

  Physical Therapist

  NPD

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104293950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WINTHROP ST",
            "address_2": "SUITE 103",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692601",
            "telephone_number": "774-565-0796",
            "fax_number": "774-565-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HOLBROOK ST STE 130",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561849",
            "telephone_number": "774-565-0796",
            "fax_number": "774-565-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Republic Pkwy",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751506916",
            "country_code": "US",
            "telephone_number": "972-698-1140",
            "fax_number": "972-681-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINIS",
        "first_name": "KYLE",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1264012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumkum Pareek Malik, PSY.D
• Matthew B Manela, LICSW
• Kathleen Manganaro
• Elizabeth Mae Manso, RN
• Joanne Many, DMD
• Jane Mbogo
• Victoria McCue
• Jensen McKee, RN
• Kerrie McKenna
• Alyssa Mills

• Physical Therapist in Norfolk, MA
• Providers in Norfolk, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.