Mandi Marie Martin, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004869 Issued in OH

Practice address

1801 Schneider St NE
Canton, OH 44721-3349

Phone

(330) 491-3800

NPI assigned

Feb 15, 2018

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

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245730241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MERCY DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SCHNEIDER ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213349",
            "telephone_number": "330-491-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Euclid St SW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446477750",
            "country_code": "US",
            "telephone_number": "330-309-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MANDI",
        "middle_name": "MARIE",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "004869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn G Martin, LSW
• Hilary Martin, CPRS
• Jamie J Martin
• Jaymie Martin, LPN
• Jessie J Martin, MD
• Myles Martin
• Nancy Martin, LPCC, LICDC-CS
• Paulette Ann Martin, CRNA
• Royal Martin
• Shanna J Martin, LSW

• Athletic Trainer in Canton, OH
• Providers in Canton, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.