Maria N Martin, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1073518 Issued in TX

Practice address

501 S Austin Ave
#1310
Georgetown, TX 78626-5610

Phone

(512) 864-6054

Fax

(512) 869-8157

NPI assigned

Jun 12, 2009

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harden Therapy LLC

  dba Mind Body Spirit Rehab (MBS Rehab)

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Georgetown, TX
  • NPI 1427190545
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1245467562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "#1310",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265610",
            "telephone_number": "512-864-6054",
            "fax_number": "512-869-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "#1310",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265610",
            "telephone_number": "512-864-6054",
            "fax_number": "512-869-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARIA",
        "middle_name": "N",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1073518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1073518",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devaun Sheppard Martin, APRN, FNP-C
• Holly Martin, FNP
• Jacob Lee Martin, MPT
• Laurielle Martin
• Lorin Martin, PHARMD
• Ryan Martin, LPC
• Dinorah Martinez-Anderson, FNP-C
• Anne F Martinez, PA
• Gerardo Martinez
• Jennifer Martinez

• Specialist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.