Active NPI
Cheryl Mae Martin, M.ED.,IECE
- Developmental Therapist
- MC Kee, KY
National Provider Identifier
1194928259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 7822 Highway 2004
MC Kee, KY 40447-8397 - Phone
- (606) 965-2158
- Fax
- (606) 965-2158
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
7822 Highway 2004
MC Kee, KY 40447-8397
Mailing address
7822 Highway 2004
MC Kee, KY 40447-8397
Phone (606) 965-2158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1194928259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7822 HIGHWAY 2004",
"city": "MC KEE",
"state": "KY",
"postal_code": "404478397",
"telephone_number": "606-965-2158",
"fax_number": "606-965-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7822 HIGHWAY 2004",
"city": "MC KEE",
"state": "KY",
"postal_code": "404478397",
"telephone_number": "606-965-2158",
"fax_number": "606-965-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHERYL",
"middle_name": "MAE",
"credential": "M.ED.,IECE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Kee, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.