Individual provider Active NPI

Martin John Healy, MSPT, ATC

  • Specialist
  • Savannah, GA
National Provider Identifier
1164599148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT004370 Issued in GA
Practice address
911 E 70TH St
Savannah, GA 31405-4814
Phone
(912) 355-0123
Fax
(912) 355-3856
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT004370 GA Primary

Addresses

Primary practice location

911 E 70TH St
Savannah, GA 31405-4814

Mailing address

911 E 70TH St
Savannah, GA 31405-4814
Phone (912) 355-0123

Other identifiers 2

IdentifierTypeStateIssuer
AT000329OtherGAGEORGIA BOARD OF AT
PT004370OtherGASTATE BOARD PT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000610 GA Practitioner - Physical Therapist in Private Practice 7012196546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 E 70TH St
Savannah, GA 31405-4814
Phone (912) 355-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004370GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Therapy Inc CurrentSince Jan 22, 2001 Accepting new patients
Coastal Therapy Inc Past Accepting new patients

Locations

3965 US Highway 17
Richmond Hill, GA 31324

329 Commercial Dr
Ste 110
Savannah, GA 31406

911 E 70th St
Savannah, GA 31405
Phone (912) 355-0123

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164599148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054814",
            "telephone_number": "912-355-0123",
            "fax_number": "912-355-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054814",
            "telephone_number": "912-355-0123",
            "fax_number": "912-355-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT004370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF AT",
            "identifier": "AT000329",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD PT",
            "identifier": "PT004370",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.