Individual provider Active NPI

Casey Martin

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1407735871
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017953 Issued in GA
Practice address
620 Cherokee St NE Ste 275
Marietta, GA 30060-7232
Phone
(678) 653-8742
NPI assigned
Aug 29, 2025
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017953 GA Primary

Addresses

Primary practice location

620 Cherokee St NE Ste 275
Marietta, GA 30060-7232

Mailing address

620 Cherokee St NE Ste 275
Marietta, GA 30060-7232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126000476 GA Practitioner - Physical Therapist in Private Practice 1355833393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians
Venture Physical Therapy of Marietta, LLCGroup PAC ID 7810244969, 3 clinicians

Practice addresses (Care Compare)

295 Molly LN
Suite 140
Woodstock, GA 30189-3761
Phone (770) 517-2288

335 Roselane St NW
Suite 200
Marietta, GA 30060-7902
Phone (770) 424-6787

620 Cherokee St NE
Marietta, GA 30060-7204
Phone (678) 653-8742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017953GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Rehabilitation and Performance Center CurrentSince Aug 25, 2025 Accepting new patients
Resurgens, LLC CurrentSince Aug 25, 2025 Accepting new patients
Venture Physical Therapy of Marietta LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Resurgens, LLC CurrentSince Aug 25, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Aug 25, 2025 Accepting new patients

Locations

3155 North Point Pkwy
Ste D100
Alpharetta, GA 30005
Phone (770) 475-7272

5553 Peachtree Rd
Ste 105
Chamblee, GA 30341
Phone (770) 687-2160

335 Roselane St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787

335 Roselane St NW
Ste 201
Marietta, GA 30060
Phone (470) 259-5226

620 Cherokee St NE
Marietta, GA 30060
Phone (678) 653-8742

620 Cherokee St NE
Ste 275
Marietta, GA 30060
Phone (678) 653-8742

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

528 Valley Hill Rd SW
Riverdale, GA 30274
Phone (678) 712-3072

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

295 Molly Ln
Ste 140
Woodstock, GA 30189
Phone (770) 517-2288

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1407735871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CHEROKEE ST NE STE 275",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CHEROKEE ST NE STE 275",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607232",
            "telephone_number": "678-653-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.