Will Martin

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6975 Issued in AZ

Practice address

5757 W Thunderbird Rd Ste 465
Glendale, AZ 85306-4650

Phone

(602) 843-9945

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By the provider in NPPES

Sex

Male

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

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Peak Physical Therapy IncGroup PAC ID 5193637262, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lone Peak Physical Therapy Inc.

  dba Lone Peak Physical Therapy

  • Physical Therapist
  • Big Sky, MT
  • NPI 1477678969

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Lone Peak Physical Therapy Inc

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1740070564
  NPD

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1336602630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N 67TH AVE APT 2058",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081091",
            "telephone_number": "802-522-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W THUNDERBIRD RD STE 465",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064650",
            "telephone_number": "602-843-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Martin
• Heidi Elizabeth Martin, MC, LPC
• Kelly Martin, COTA
• Richard Fleming Martin, DDS
• Shannon R Martin, LCSW
• Miguel Martinez Gonzalez
• Stephanie D Martinez Hawthorne, M.D.
• Erika Martinez Meraz
• Yamileth Martinez-Lewis
• Julissa Martinez-Werth, B.A.

• Occupational Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.