Active NPI
Matthew Robert Martin, MS, PT
- Physical Therapist
- Hughesville, PA
National Provider Identifier
1386725802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016656
- Practice address
- 123 West Academy Street
Hughesville, PA 17737 - Phone
- (570) 584-2772
- Fax
- (570) 584-2446
- NPI assigned
- Oct 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | PT016656 | PA | Primary |
Addresses
Primary practice location
123 West Academy Street
Hughesville, PA 17737
Mailing address
520 Philadelphia St
Indiana, PA 15701-3902
Phone (724) 463-7478
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016656 | PA | MD | Physical Therapist |
Interoperability endpoints
- matthew.r.martin@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386725802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013902",
"telephone_number": "724-463-7478",
"fax_number": "724-463-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 WEST ACADEMY STREET",
"city": "HUGHESVILLE",
"state": "PA",
"postal_code": "17737",
"telephone_number": "570-584-2772",
"fax_number": "570-584-2446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MATTHEW",
"middle_name": "ROBERT",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hughesville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.