Individual provider Active NPI

Rebekah Leigh Martin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
National Provider Identifier
1194933614
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR.0048826 Issued in CO
Practice address
1710 Jet Stream Dr Ste 110
Colorado Springs, CO 80921-3937
Phone
(719) 282-7850
Fax
(719) 457-6200
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036.122409 IL
Physical Medicine & Rehabilitation Physician 208100000X DR.0048826 CO Primary

Addresses

Primary practice location

1710 Jet Stream Dr Ste 110
Colorado Springs, CO 80921-3937

Mailing address

1710 Jet Stream Dr Ste 110
Colorado Springs, CO 80921-3937
Phone (719) 282-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000247 CO Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 1658422290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine and Joint Solutions PLLCGroup PAC ID 7517285554, 3 clinicians

Practice addresses (Care Compare)

1710 Jet Stream Dr
Suite 110
Colorado Springs, CO 80921-3937
Phone (719) 282-7850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.122409ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Joint Solutions PLLC Physical Medicine & Rehabilitation CurrentSince Feb 1, 2015 Accepting new patients
Spine & Sports Physiatrists, S.C. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

7 Spectrum Loop
Ste 135
Colorado Springs, CO 80921
Phone (719) 282-7850

1710 Jet Stream Dr
Ste 110
Colorado Springs, CO 80921
Phone (719) 282-7850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1194933614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213937",
            "telephone_number": "719-282-7850",
            "fax_number": "719-457-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 JET STREAM DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213937",
            "telephone_number": "719-282-7850",
            "fax_number": "719-457-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REBEKAH",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.122409",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0048826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.