Individual provider Active NPI

Brittany Ann Martin II

  • Physical Therapist
  • Atmore, AL
National Provider Identifier
1295974681
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5305 Issued in AL
Practice address
429 Buford L Rolin Dr
Atmore, AL 36502-5186
Phone
(251) 368-9136
NPI assigned
Feb 10, 2009
Last updated
May 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 5305 AL Primary

Addresses

Primary practice location

429 Buford L Rolin Dr
Atmore, AL 36502-5186

Mailing address

429 Buford L Rolin Dr
Atmore, AL 36502-5186
Phone (251) 368-9136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150319000097 TX Practitioner - Physical Therapist in Private Practice 9436476025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poarch Band of Creek IndiansGroup PAC ID 9830188085, 12 clinicians

Practice addresses (Care Compare)

5811 Jack Springs Rd
Atmore, AL 36502-5025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Poarch Band of Creek Indians CurrentSince Apr 1, 2014 Accepting new patients

Locations

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1295974681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 BUFORD L ROLIN DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365025186",
            "telephone_number": "251-368-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 BUFORD L ROLIN DR",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365025186",
            "telephone_number": "251-368-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "5305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.