Paul G Martino

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1631 Issued in SC

Practice address

2166 Gold Hill Rd Ste B
Tega Cay, SC 29708-8384

Phone

(803) 802-5508

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1144458381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 WINDYRUSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263111",
            "telephone_number": "704-562-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 GOLD HILL RD STE B",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297088384",
            "telephone_number": "803-802-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "PAUL",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherilyn Livingston
• Genna Lauren Long, PMHNP-BC
• Jodie Roberta Lowry
• Maria Wilson, PT, LLC
• Kendra Martin
• Ann Marie May, M.ED.,CCC-SLP
• Jessica McCorkle
• Hannah McLaurin Melton
• Barbara Allison Moore, DMD
• Monica Antoinette Morris

• All providers in Tega Cay, SC
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.