Kelly Catherine Martin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5148

Practice address

2627 Siskiyou Blvd Ste 102
Medford, OR 97504-8188

Phone

(541) 500-1779

Fax

(541) 500-1943

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kelly Martin Howze Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connected Physical Therapy

  • Physical Therapy Clinic/Center
  • Medford, OR
  • NPI 1942672142

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Anders Incorporated

  dba aaron d anders physical therapy

  • Physical Therapy Clinic/Center
  • Medford, OR
  • NPI 1245413202
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1174687263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 SISKIYOU BLVD STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048188",
            "telephone_number": "541-500-1779",
            "fax_number": "541-500-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 SISKIYOU BLVD STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048188",
            "telephone_number": "541-500-1779",
            "fax_number": "541-500-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "middle_name": "CATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "J284217",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "804894012",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HOWZE",
            "middle_name": "MARTIN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tia Marten
• Christina Renee Martin, DNP
• Danielle Louise Martin, LCSW
• David J Martin, M.D.
• Eric Martin, M.D.
• Lendell Martin
• Marco Robert Martin
• Mariah J Martin, PA-C
• Mary Catherine Martin, MA,MS, LPC
• Maureen Martin

• Physical Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.