Victoria Martin – Physical Therapy Assistant

Key facts

NPI: 1346942703
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 2021043993 (MO)
Practice address: 300 SE Salem St
Oak Grove, MO 64075-9299
Phone: (816) 690-8900
NPI assigned: Mar 20, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Synergy Therapies LLC Physical Medicine & Rehabilitation Physician · Independence, MO · NPI 1780604611

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2021043993	MO	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
Synergy Therapies LLC		Past since Oct 1, 2012	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	2021043993	MO	Yes

Addresses

Primary practice location

300 SE Salem St
Oak Grove, MO 64075-9299

Mailing address

264 White Tree CT
Ballwin, MO 63011-3300
Phone (314) 488-3866

Other practice location 1

19049 E Valley View Pkwy Ste H
Independence, MO 64055-7026
Phone (816) 795-8944

Other providers in Oak Grove, MO

All providers in Oak Grove, MO · Physical Therapy Assistant in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.