Active NPI
Naja Saleem Martin, PT, DPT
- Geriatric Physical Therapist
- Lawrenceville, GA
National Provider Identifier
1407254253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT011373
- Practice address
- 1375 Webb Gin House Rd
Lawrenceville, GA 30045-5440 - Phone
- (470) 299-5013
- Fax
- (470) 299-5014
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT011373 | GA | Primary |
| Neurology Physical Therapist | 2251N0400X | PT011373 | GA |
Addresses
Primary practice location
1375 Webb Gin House Rd
Lawrenceville, GA 30045-5440
Mailing address
1375 Webb Gin House Rd
Lawrenceville, GA 30045-5440
Phone (470) 299-5013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011373 | GA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Rehabilitation Agency, LLC | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Athens, GA
- NPI 1508281411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1407254253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 WEBB GIN HOUSE RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300455440",
"telephone_number": "470-299-5013",
"fax_number": "470-299-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 WEBB GIN HOUSE RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300455440",
"telephone_number": "470-299-5013",
"fax_number": "470-299-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "NAJA",
"middle_name": "SALEEM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "GA",
"license": "PT011373",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "GA",
"license": "PT011373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.