Mindy Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06471 Issued in OH

Practice address

775 E Johnstown Rd
Gahanna, OH 43230-2115

Phone

(614) 418-9775

NPI assigned

Jul 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341360000000",
    "number": "1396000436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E JOHNSTOWN RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302115",
            "telephone_number": "614-418-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E JOHNSTOWN RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302115",
            "telephone_number": "614-418-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MINDY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-04",
        "last_updated": "2012-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "06471",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Levy DDS Inc
• Maria Martanovic
• Benjamin J Martin, MD
• Kevin Douglas Martin, DO
• Krystal L Martin, LISW
• Robert A. Martin, M.D.
• Stacy Martin, MA, BCBA, COBA
• Xavier Stephen Martinez, DPT
• Candaysha Mason, CARE MANAGER
• Janet Rae Mason, MD

• Physical Therapy Assistant in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2012; 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.