Active NPI
Pamella J Martin, MPT
- Physical Therapist
- Lecanto, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20489
- Practice address
- 950 N Avalon Way
Lecanto, FL 34461-6004 - Phone
- (352) 746-2959
- Fax
- (352) 746-4418
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20489 | FL | Primary |
Addresses
Primary practice location
950 N Avalon Way
Lecanto, FL 34461-6004
Mailing address
PO Box 1990
Crystal River, FL 34423-1990
Phone (352) 746-2959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8450 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (877) 407-3422
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20489 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthopaedic Institute PA | Current | Accepting new patients | |
| Fox Rehab PT FL LLC | Physical Therapist | Current | Accepting new patients |
| The Orthopaedic Institute, PA | Current | Accepting new patients | |
| Citrus Orthopaedic and Joint Institute, PA | Physical Therapist | Past | Accepting new patients |
Locations
146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215
950 N Avalon Way
Lecanto, FL 34461
Phone (352) 746-2663
8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800
Organizations & group practices 4
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.
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- NPI 1740373547
-
- Orthopaedic Surgery Physician
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- NPI 1992569198
-
- Orthopaedic Surgery Physician
- Lecanto, FL
- NPI 1275668063
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1215075957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1990",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344231990",
"telephone_number": "352-746-2959",
"fax_number": "352-746-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N AVALON WAY",
"city": "LECANTO",
"state": "FL",
"postal_code": "344616004",
"telephone_number": "352-746-2959",
"fax_number": "352-746-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PAMELLA",
"middle_name": "J",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.