Heidi Jean Martin, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1180 Issued in MT

Practice address

336 Fairgrounds Rd
Hamilton, MT 59840-3126

Phone

(406) 375-0980

Fax

(406) 375-9938

NPI assigned

Jun 9, 2006

Last updated

Jan 17, 2008By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Corvallis Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Corvallis, MT
  • NPI 1891080529

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1285675298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980",
            "fax_number": "406-375-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980",
            "fax_number": "406-375-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "HEIDI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343077",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61766",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00115370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Daly Memorial Hospital Corporation (Bitterroot Health-Neurosurgery)
• Marcus Daly Memorial Hospital Corporation (Bitterroot Health - Hamilton)
• Marshall W. White MD
• Michael Marstaeller
• Douglas Jay Martin, MPT
• Amanda Marie Martinez, LAC
• Cory Martz, LMT
• Marvel Vision Clinic, LLC
• Jennifer McCants, RD
• Jethro McConnell, DPT

• Physical Therapist in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.