Individual provider Active NPI

Pamella J Martin, MPT

  • Physical Therapist
  • Lecanto, FL
National Provider Identifier
1215075957
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20489 Issued in FL
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

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20051213000227 FL Practitioner - Physical Therapist in Private Practice 5294756706 Reassigns benefits to 2 organizations

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
Fox Rehab PT FL LLCGroup PAC ID 7416345921, 76 clinicians

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20489FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Institute PA CurrentSince Dec 30, 2020 Accepting new patients
Fox Rehab PT FL LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
The Orthopaedic Institute, PA CurrentSince Dec 30, 2020 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.

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.

Verify at the official NPI Registry.