Sally B. Martin, M.S., CCC/SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002028 Issued in VA

Practice address

7143 Shreve Rd
Achieve Beyond
Falls Church, VA 22043

Phone

(703) 237-2219

NPI assigned

Apr 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1396001335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SPRING SUMMIT RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504604",
            "telephone_number": "703-455-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 SHREVE RD",
            "address_2": "ACHIEVE BEYOND",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22043",
            "telephone_number": "703-237-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SALLY",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC/SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Joseph Martin, AG-ACNP
• Eric Martin, MD
• Gary Chadwick Martin, D.D.S.
• John Patrick Martin, MD
• Juana R. Martin, M.S.W.
• Cecilia I Martinez, M.D.
• Jane Catherine Martinez, DC
• Amy Martino, RN
• Dana Marie Martino
• Rochelle P Mascarenhas, M.D.

• Speech-Language Pathologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Speech-Language Pathologist in Virginia

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