Mia Martin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6490 Taylor Woods Rd. Lot 17
Hamburg, NY 14075

Phone

(877) 246-2396

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beyond Boundaries: Therapy for Kids

  • Early Intervention Provider Agency
  • Hamburg, NY
  • NPI 1548494347
  NPD (past)

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1205501251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 TAYLOR RD LOT 17",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 TAYLOR WOODS RD. LOT 17",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "14075",
            "telephone_number": "877-246-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Marra, MD
• Sara Marranca, LCSW
• Frederick Marschner, LCSWR
• Christy Sue Martin
• Lindsay Taylor Martin
• Sara Martin
• Mary Kruszka, LCSW, PLLC
• Mary M Steenberg-Read, LCSW, PLLC
• Kathryn Marzullo-Cooleen, LMT
• Thomas O Mason, M.D.

• Speech-Language Pathologist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.