Organization Active NPI

Martin Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • New Port Richey, FL
National Provider Identifier
1225093032
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
POR38 Issued in FL
Legal business name
MARTIN PROSTHETICS & ORTHOTICS INC
Practice address
5950 High Street
New Port Richey, FL 34652
Phone
(727) 845-1995
Fax
(727) 845-1994
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mr. Gerald Martin, CPO LPO
Title
Prostheist Orthotist Owner
Phone
(954) 722-1995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X POR38 FL Primary

Addresses

Primary practice location

5950 High Street
New Port Richey, FL 34652

Mailing address

5950 High Street
New Port Richey, FL 34652
Phone (727) 845-1995

Other identifiers 1

IdentifierTypeStateIssuer
028204900MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1225093032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 HIGH STREET",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-845-1995",
            "fax_number": "727-845-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 HIGH STREET",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-845-1995",
            "fax_number": "727-845-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PROSTHETICS & ORTHOTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PROSTHEIST ORTHOTIST OWNER",
        "authorized_official_telephone_number": "954-722-1995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028204900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.