Individual provider Active NPI

Aubrey Martin, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1255956082
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043947 Issued in NY
Practice address
117 W 72ND St FL 2
New York, NY 10023-3204
Phone
(201) 503-4402
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043947 NY Primary

Addresses

Primary practice location

117 W 72ND St FL 2
New York, NY 10023-3204

Mailing address

365 Bond St Apt A608
Brooklyn, NY 11231-5146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031004256 MN Practitioner - Physical Therapist in Private Practice 1355874140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

1390 University Ave W
Saint Paul, MN 55104-4001
Phone (651) 232-5412

14101 Fairview Dr
Suite 300
Burnsville, MN 55337-2537
Phone (952) 460-4900

1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6767

2525 University Ave SE
Minneapolis, MN 55414-3205
Phone (612) 672-6697

2535 University Ave SE
Minneapolis, MN 55414-3205
Phone (612) 672-2350

2600 39TH Ave NE
Suite 220
Minneapolis, MN 55421-5052
Phone (612) 789-0417

3033 Excelsior Blvd
Suite 225
Minneapolis, MN 55416-0026
Phone (612) 821-4375

3400 W 66TH St
Suite 300
Edina, MN 55435-2110
Phone (952) 914-1965

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

8301 Golden Valley Rd
Suite 202
Golden Valley, MN 55427-4475
Phone (763) 533-0541

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043947NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Sep 1, 2025 Accepting new patients
Fairview Express Care CurrentSince Sep 1, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Brendan Martin Physical Therapy PLLC Physical Therapist CurrentSince Jun 25, 2023 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

3033 Excelsior Blvd
Ste 225
Minneapolis, MN 55416
Phone (612) 672-7000

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

117 W 72nd St
Fl 2
New York, NY 10023
Phone (212) 721-1010

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1255956082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BOND ST APT A608",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112315146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 72ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233204",
            "telephone_number": "201-503-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AUBREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.