Active NPI
Martin Prosthetics & Orthotics Inc
- Prosthetic/Orthotic Supplier
- New Port Richey, FL
National Provider Identifier
1225093032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- POR38
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028204900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.