Individual provider Active NPI

Cameron Paul Martin

  • Physical Therapist
  • Richardson, TX
National Provider Identifier
1134816234
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1373093 Issued in TX
Practice address
2040 E President George Bush Hwy Ste 100
Richardson, TX 75082-1001
Phone
(972) 250-5690
NPI assigned
Apr 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1373093 TX Primary

Addresses

Primary practice location

2040 E President George Bush Hwy Ste 100
Richardson, TX 75082-1001

Mailing address

2040 E President George Bush Hwy Ste 100
Richardson, TX 75082-1001
Phone (972) 250-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508001322 TX Practitioner - Physical Therapist in Private Practice 5799202123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1633 Cottonwood St
Abilene, TX 79601-3033
Phone (325) 672-4372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2025 Accepting new patients
Hendrick Provider Network CurrentSince Jun 1, 2025 Accepting new patients
Ethicus Hospital DFW, LLC PastSince Apr 23, 2023 Accepting new patients

Locations

1633 Cottonwood St
Abilene, TX 79601
Phone (325) 672-4372

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1134816234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E PRESIDENT GEORGE BUSH HWY STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750821001",
            "telephone_number": "972-250-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E PRESIDENT GEORGE BUSH HWY STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750821001",
            "telephone_number": "972-250-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAMERON",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1373093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.