Sierra Nicole Martin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134250 Issued in VT

Practice address

23 San Remo Dr
South Burlington, VT 05403-6343

Phone

(802) 349-3679

NPI assigned

Feb 22, 2021

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Sierra Norland Former name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Vermont College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connective Physical Therapy LLCGroup PAC ID 1951752690, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connective Physical Therapy LLC

  dba Connective PT Neuro Pelvic Wellness

  • Physical Therapy Clinic/Center
  • South Burlington, VT
  • NPI 1629840798

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dee Physical Therapy Services PLC

  • Physical Therapist
  • South Burlington, VT
  • NPI 1083773436
  Medicare reassignment NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1225622236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STANBURY RD",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082583",
            "telephone_number": "802-349-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SAN REMO DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036343",
            "telephone_number": "802-349-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SIERRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NORLAND",
            "middle_name": "SIERRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stefanie Kleinfeld Marko, D.C.
• Cassandra Marshall
• John Gerard Martell, OPTOMETRIST
• Amanda Martin, MA
• Hiroko Martin
• Martin's Foods of South Burlington, LLC (Hannaford Supermarket & Pharmacy)
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Pauline Masley, DPT
• Amanda Matyas, SLP
• Averee May

• Physical Therapist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.