Active NPI
David Martien
- Physical Therapy Assistant
- Tiffin, OH
National Provider Identifier
1154740280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA.06891
- Practice address
- 1152 County Road 13
Tiffin, OH 44883-3152 - Phone
- (567) 230-2504
- NPI assigned
- Apr 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA.06891 | OH | Primary |
| Physical Therapy Assistant | 225200000X | 2306603781 | VA |
Addresses
Primary practice location
1152 County Road 13
Tiffin, OH 44883-3152
Mailing address
1152 County Road 13
Tiffin, OH 44883-3152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.06891 | OH | MD | Physical Therapy Assistant |
| 2306603781 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1154740280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 COUNTY ROAD 13",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448833152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 COUNTY ROAD 13",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448833152",
"telephone_number": "567-230-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIEN",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA.06891",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306603781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.