Amy L Martin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005555 Issued in KY

Practice address

90 Howard Dr
Shelbyville, KY 40065-8138

Phone

(502) 633-1007

Fax

(502) 437-0624

NPI assigned

Jun 13, 2011

Last updated

Apr 30, 2017By the provider in NPPES

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

Other names 1

• Amy Fischer Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Pediatric Therapy, LLCGroup PAC ID 5193887321, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates in Pediatric Therapy, LLC

  dba Associates in Pediatric Therapy

  • Rehabilitation Clinic/Center
  • Shelbyville, KY
  • NPI 1396910840

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Associates in Pediatric Therapy, LLC

  dba Associates in Pediatric Therapy

  • Speech-Language Pathologist
  • Louisville, KY
  • NPI 1962768648

  Physical Therapist

  NPD

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1396030979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007",
            "fax_number": "502-437-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138",
            "telephone_number": "502-633-1007",
            "fax_number": "502-437-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "AMY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FISCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Faiyad Yaseer Mannan, MD
• Richard Manuel, RPH
• Maple Grove Senior Living LLC
• Jessica Rae Marshall, L.M.T.
• Kenneth Edwin Marshall, MD
• Ashlyn Delaney Martin, PA-C
• Frank J Martin, M.D.
• Laura Martin, PA-C
• Tracy Wade Marx, DMIN, TCADC
• Masonic Homes of Kentucky Inc

• Physical Therapist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.