Kelly Jo Martin, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MT105536 Issued in TX

Practice address

14632 Tanglewood Dr
Farmers Branch, TX 75234-2554

Phone

(469) 237-6599

NPI assigned

Jul 15, 2008

Last updated

Jul 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1235393703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14632 TANGLEWOOD DR",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752342554",
            "telephone_number": "469-237-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14632 TANGLEWOOD DR",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752342554",
            "telephone_number": "469-237-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "TX",
            "license": "MT105536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neema Marasi, BSN, RN
• April Marin, LCSW
• Erin Lindsey Marsch-Perez, LCSW
• Jeanette Marshall
• Brianda Martin del Campo, M.A., BCBA
• Renae Ann Martin
• Allen Gamaliel Martinez, DC
• Christina Martinez, LVN
• Ricardo J Martinez, MD
• Darshan Jayendra Masalawala

• Mechanotherapist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Mechanotherapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.