Tara Catherine Martin, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

002863 Issued in NY

Practice address

639 Howard Rd
West Point, NY 10996-1510

Phone

(845) 938-2297

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1306206396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A LIBERTY ST",
            "city": "HIGHLAND FALLS",
            "state": "NY",
            "postal_code": "109281918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HOWARD RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961510",
            "telephone_number": "845-938-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TARA",
        "middle_name": "CATHERINE",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Lynch, MD
• Jan Maby, DO
• Erin Madden, ATC
• Joseph Charles Marasia, PH.D.
• Kayla Elizabeth Marthy, FNP-BC
• Jacquelyn Marie McCann, MS, ATC, PES, CES
• Karen McDermott, CLC
• Jillian McGovern, PHARMD
• Marguerite Mary McGuigan-Shuster, MD
• Patrick Miller

• Athletic Trainer in West Point, NY
• Providers in West Point, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.