Active NPI
Christy Sue Martin
- Physical Therapy Clinic/Center
- Hamburg, NY
National Provider Identifier
1407487341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 035219
- Practice address
- 4650 Southwestern Blvd
Hamburg, NY 14075-1939 - Phone
- (716) 648-2450
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 035219 | NY | Primary |
Addresses
Primary practice location
4650 Southwestern Blvd
Hamburg, NY 14075-1939
Mailing address
1029 Backus Rd
Derby, NY 14047-9511
Phone (716) 982-3479
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1407487341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 BACKUS RD",
"city": "DERBY",
"state": "NY",
"postal_code": "140479511",
"telephone_number": "716-982-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 SOUTHWESTERN BLVD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751939",
"telephone_number": "716-648-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "CHRISTY",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "035219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.