Active NPI
Jeffrey Eugene Martin, PT, DPT
- Physical Therapist
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-3213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCPreferred PT LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-3213 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT LLC | Physical Therapist | Current | Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT, LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Belton, MO
- NPI 1760745244
KS, Physical Therapist
-
- Physical Therapist
- Overland Park, KS
- NPI 1790049195
-
- Physical Therapist
- Leawood, KS
- NPI 1336966852
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
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.