Organization Active NPI

Martin Therapy

  • Physical Therapist
  • Alamogordo, NM
National Provider Identifier
1104910785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1662 Issued in NM
Legal business name
MARTIN THERAPY
Practice address
25 Arroyo Ridge Road
Alamogordo, NM 88310
Phone
(505) 443-8210
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shawna Rochelle Martin, P.T.
Title
P.T.
Phone
(505) 443-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1662 NM Primary

Addresses

Primary practice location

25 Arroyo Ridge Road
Alamogordo, NM 88310

Mailing address

25 Arroyo Ridge Road
Alamogordo, NM 88310
Phone (505) 443-8210

Other identifiers 2

IdentifierTypeStateIssuer
1662OtherNMNM PT LICENSE
000K8676MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104910785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ARROYO RIDGE ROAD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-443-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ARROYO RIDGE ROAD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-443-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "P.T.",
        "authorized_official_telephone_number": "505-443-8210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM PT LICENSE",
            "identifier": "1662",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K8676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.