Individual provider Active NPI

Heather K Martyn, MSPT

  • Physical Therapist
  • Haverhill, MA
National Provider Identifier
1346266111
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15523 Issued in MA
Practice address
3 Ferry St
Suite F
Haverhill, MA 01835-7442
Phone
(978) 469-9412
Fax
(978) 469-0693
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3063 NH
Physical Therapist 225100000X 15523 MA Primary

Addresses

Primary practice location

3 Ferry St
Suite F
Haverhill, MA 01835-7442

Mailing address

210 Commerce Way
Suite 120
Portsmouth, NH 03801-8200
Phone (207) 439-2675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051003000285 MA Practitioner - Physical Therapist in Private Practice 7113952771 Reassigns benefits to 1 organization
I20051028000963 NH Practitioner - Physical Therapist in Private Practice 7113952771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

64 Portsmouth Ave
Suite 5
Stratham, NH 03885-6552
Phone (603) 772-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15523MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proex Physical Therapy, LLC CurrentSince Dec 14, 2009 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2009 Accepting new patients
Stratham Physical Therapy Physical Therapist Past Accepting new patients
Competitive Edge Physical Therapy & Sports Training, LLC Physical Therapist Past Accepting new patients

Locations

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

3 Ferry St
Ste F
Haverhill, MA 01835
Phone (978) 469-9412

1 Arrow Dr
Ste 2
Woburn, MA 01801
Phone (781) 935-2655

96 Calef Hwy
Unit 8
Epping, NH 03042
Phone (603) 679-3700

210 Commerce Way
Ste 120
Portsmouth, NH 03801
Phone (603) 427-8066

475 High St
Unit E
Somersworth, NH 03878
Phone (603) 617-3846

64 Portsmouth Ave
Ste 5
Stratham, NH 03885
Phone (603) 772-8222

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1346266111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COMMERCE WAY",
            "address_2": "SUITE 120",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018200",
            "telephone_number": "207-439-2675",
            "fax_number": "207-439-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FERRY ST",
            "address_2": "SUITE F",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018357442",
            "telephone_number": "978-469-9412",
            "fax_number": "978-469-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTYN",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3063",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.