Jordan Rackley Martine, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15209 Issued in NC

Practice address

1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719

Phone

(910) 798-2318

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

No

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)

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 and National Provider Directory roles.

• Salt & Light Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Wilmington, NC
  • NPI 1306616545
  NPD Authorized official
• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1558598532
  NPD

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1346640711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 OLEANDER DR",
            "address_2": "SUITE 211",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034766",
            "telephone_number": "910-398-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MILITARY CUTOFF RD STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035719",
            "telephone_number": "910-798-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINE",
        "first_name": "JORDAN",
        "middle_name": "RACKLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Pemelton Martin IV, PHARMD
• Shona Ferrier Martin, MD
• Tami Martin, PA
• Zachary Martin
• Jasmine Elise Martindale
• Mariah Lynn Martineau Lopez, LCAS, LCSWA
• Amarilia Martinez-Cordova, LCSWA, LCASA
• Bryan Lee Martinez
• Carianne Martinez, PSYD
• Cindy Marie Martinez, MSW, LCSW

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.