Active NPI
Nicholas J. Martin, LPT, PT
- Physical Therapist
- Follansbee, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001084
- Practice address
- 1425 Main St
Follansbee, WV 26037-1217 - Phone
- (304) 527-4472
- Fax
- (304) 527-4648
- NPI assigned
- Aug 11, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001084 | WV | Primary |
| Physical Therapist | 225100000X | PT007091 | OH | |
| Physical Therapist | 225100000X | PT006744L | PA |
Addresses
Primary practice location
1425 Main St
Follansbee, WV 26037-1217
Mailing address
414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780
Other practice location 1
1828 Franklin St
Toronto, OH 43964-1949
Phone (740) 337-1366
Other practice location 2
100 Wilhaven Rd Ste 100
Mc Murray, PA 15317-3094
Phone (724) 941-3727
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55071930003 | Other | WV | THE HEALTH PLAN BWC |
| 1515473000 | Other | WV | US DEPT OF LABOR |
| 55071930000 | Other | WV | WV WORKERS COMP BRICKSTEE |
| 000745333 | Other | BLUE CROSS/BLUE SHIELD | |
| 0156604000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, PA, OH
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
414 Penco Rd
Weirton, WV 26062-3822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007091 | OH | MD | Physical Therapist |
| PT006744L | PA | MD | Physical Therapist |
| 001084 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Summit Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
1828 Franklin St
Toronto, OH 43964
Phone (740) 337-1366
100 Wilhaven Rd
McMurray, PA 15317
Phone (724) 941-3727
118 Carolina Ave
Chester, WV 26034
Phone (304) 387-0409
1425 Main St
Follansbee, WV 26037
Phone (304) 527-4472
47454 Route 52
Kermit, WV 25674
Phone (304) 393-4072
621 N Chester St
New Cumberlnd, WV 26047
Phone (304) 564-1098
414 Penco Rd
Weirton, WV 26062
Phone (304) 723-3780
Organizations & group practices 2
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.
-
- Physical Therapist
- Toronto, OH
- NPI 1588430292
-
- Physical Therapist
- Weirton, WV
- NPI 1336878263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1124030168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 PENCO RD",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-723-3780",
"fax_number": "304-723-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MAIN ST",
"city": "FOLLANSBEE",
"state": "WV",
"postal_code": "260371217",
"telephone_number": "304-527-4472",
"fax_number": "304-527-4648"
}
],
"practiceLocations": [
{
"address_1": "1828 Franklin St",
"address_purpose": "LOCATION",
"city": "Toronto",
"state": "OH",
"postal_code": "439641949",
"country_code": "US",
"telephone_number": "740-337-1366",
"fax_number": "740-337-4054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Wilhaven Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Mc Murray",
"state": "PA",
"postal_code": "153173094",
"country_code": "US",
"telephone_number": "724-941-3727",
"fax_number": "724-941-3761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "NICHOLAS",
"middle_name": "J.",
"credential": "LPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "001084",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT007091",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006744L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE HEALTH PLAN BWC",
"identifier": "55071930003",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "1515473000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKERS COMP BRICKSTEE",
"identifier": "55071930000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000745333",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156604000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Follansbee, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.