Active NPI
Katelyn Martell, DPT
- Physical Therapist
- West Linn, OR
National Provider Identifier
1326529793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62925
- Practice address
- 1554 Garden St Ste 103
West Linn, OR 97068-3278 - Phone
- (503) 723-0347
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62925 | OR | Primary |
Addresses
Primary practice location
1554 Garden St Ste 103
West Linn, OR 97068-3278
Mailing address
PO Box 592
West Linn, OR 97068-0592
Phone (503) 723-5049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62925 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1326529793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 592",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970680592",
"telephone_number": "503-723-5049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 GARDEN ST STE 103",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683278",
"telephone_number": "503-723-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELL",
"first_name": "KATELYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-23",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.