Individual provider Active NPI

Jeffrey Eugene Martin, PT, DPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1285072074
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-3213 Issued in KS
Practice address
4800 W 135TH St Ste 210
Leawood, KS 66224-8722
Phone
(913) 766-9816
Fax
(913) 766-6813
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2002025838 MO
Physical Therapist 225100000X 11-3213 KS Primary

Addresses

Primary practice location

4800 W 135TH St Ste 210
Leawood, KS 66224-8722

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221014002027 KS Practitioner - Physical Therapist in Private Practice 8921474073 Reassigns benefits to 2 organizations
I20250916000530 MO Practitioner - Physical Therapist in Private Practice 8921474073 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
Serc Rebabilitation Partners, LLC 212 clinicians
Preferred PT LLC 48 clinicians

Practice addresses (Care Compare)

12803 W 87TH St Pkwy
Lenexa, KS 66215-4528
Phone (913) 227-0764

13035 Kansas Ave
Serc Bonner Springs
Bonner Springs, KS 66012-9206
Phone (913) 721-6362

373 W 101St Ter
220 Preferred PT Wornall
Kansas City, MO 64114-4408
Phone (816) 489-4161

712 1St Ter
Suite 103
Lansing, KS 66043-1715
Phone (316) 263-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-3213KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Sep 4, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

4800 W 135th St
Ste 210
Leawood, KS 66224
Phone (913) 766-9816

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

Organizations & group practices 7

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1285072074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W 135TH ST STE 210",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248722",
            "telephone_number": "913-766-9816",
            "fax_number": "913-766-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002025838",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.