Active NPI
Martin Therapy
- Physical Therapist
- Alamogordo, NM
National Provider Identifier
1104910785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1662
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1662 | Other | NM | NM PT LICENSE |
| 000K8676 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Las Cruces, NM
- NPI 1649360389
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.