Active NPI
Jacob Lee Martin, MPT
- Physical Therapist
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1161218
- Practice address
- 3415 Williams Dr Ste 145
Georgetown, TX 78628-2886 - Phone
- (512) 887-4544
- Fax
- (512) 887-4542
- NPI assigned
- Aug 20, 2006
- 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 | 1161218 | TX | Primary |
Addresses
Primary practice location
3415 Williams Dr Ste 145
Georgetown, TX 78628-2886
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Phone (904) 895-5518
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742862345 | Other | TX | GOLDEN RULE |
| 772862345 | Other | TX | GREAT WEST |
| 742862345 | Other | TX | SCOTT & WHITE |
| 2274981 | Other | TX | FIRST HEALTH |
| 742862345 | Other | TX | HEALTHSMART |
| 742862345 | Other | TX | GALAXY |
| 742862345 | Other | TX | PHCS |
| 742862345 | Other | TX | TRUE CHOICE |
| 742862345 | Other | TX | UNICARE |
| 742862345 | Other | TX | HUMANA |
| 8T4542/0092EX | Other | TX | BCBS |
| 742862345 | Other | TX | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3415 Williams Dr
Suite 145 Georgetown Physical Therapy
Georgetown, TX 78628-2886
Phone (512) 887-4544
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 46.1
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
| Endeavor Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
| Texas Orthopedics Sports & Rehabilitation Associates PA | Past | Accepting new patients | |
| Texas Physical Therapy Specialists | Past | Accepting new patients |
Locations
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
3415 Williams Dr
Ste 145
Georgetown, TX 78628
Phone (512) 887-4544
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
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- NPI 1760506232
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- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1346244688
-
- Specialist
- Georgetown, TX
- NPI 1467448522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1114032018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184",
"telephone_number": "904-895-5518",
"fax_number": "904-895-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 WILLIAMS DR STE 145",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282886",
"telephone_number": "512-887-4544",
"fax_number": "512-887-4542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JACOB",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1161218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOLDEN RULE",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "772862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOTT & WHITE",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2274981",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSMART",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GALAXY",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRUE CHOICE",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "742862345",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T4542/0092EX",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "742862345",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.