Wendi Martin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6720 Issued in GA

Practice address

902 Northside Dr
Perry, GA 31069-3344

Phone

(478) 987-1610

Fax

(973) 965-4580

NPI assigned

Dec 21, 2006

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

State licenses

Practice roles

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.

• The Cantrell Center for Physical Therapy and Sports Medicine, P.C.

  • Physical Therapy Clinic/Center
  • Warner Robins, GA
  • NPI 1417091372
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1407910581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NORTHSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693344",
            "telephone_number": "478-987-1610",
            "fax_number": "973-965-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 NORTHSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693344",
            "telephone_number": "478-987-1610",
            "fax_number": "973-965-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WENDI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "6720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00883132D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macon Orthopaedic & Hand Center PA
• Macon Orthopaedic & Hand Center, PA
• Sharon Eliason Maddrey, CRNA
• Amardeep S Mann, MD
• Malaysia Manning
• Alexandra Dominique Mason Ceaser
• Stephanie B Mason
• Lorrie Anne McCrary, SLP
• Ellen C McDaniel
• Naomi Law McGalliard, PMHNP

• Physical Therapist in Perry, GA
• Providers in Perry, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.