Active NPI
Thomas Martin, PT
- Physical Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-007302
- Practice address
- 3509 N Broad St
Philadelphia, PA 19140-4105 - Phone
- (215) 707-2111
- Fax
- (215) 707-3953
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | PT-007302 | PA | Primary |
Addresses
Primary practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-2111
Other practice location 1
3401 N Broad St
Bsmt, Rock Pavilion
Philadelphia, PA 19140-5103
Phone (215) 707-3952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015175920002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3509 N Broad St
Philadelphia, PA 19140-4105
Phone (215) 707-2111
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 49.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-007302 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Bucks Physical & Sports Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Move More LLC | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Pinnacle Physicians Group LLC | Past | Accepting new patients | |
| Medical Center of Bustleton PC | Past | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Past | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
7604 Central Ave
Philadelphia, PA 19111
Phone (215) 745-3400
2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000
3401 N Broad St
Bsmt Rock
Philadelphia, PA 19140
Phone (215) 707-3646
11000 Roosevelt Blvd
Philadelphia, PA 19116
Phone (215) 214-6655
2450 W Hunting Park Ave
#3208N
Philadelphia, PA 19129
Phone (215) 707-3911
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Physical Therapist
- Richboro, PA
- NPI 1932179215
-
- Physical Therapy Clinic/Center
- Harleysville, PA
- NPI 1043827835
-
dba Temple Faculty Geriatric Associates
- Geriatric Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1801378740
-
dba Temple Faculty Multi-Specialty at NJ
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1861576753
-
- Family Medicine Physician
- Trevose, PA
- NPI 1184984809
-
dba Temple Faculty Dermatology Associates
- Dermatology Physician
- Philadelphia, PA
- NPI 1285116228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1427046523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-2111",
"fax_number": "215-707-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105",
"telephone_number": "215-707-2111",
"fax_number": "215-707-3953"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_2": "Bsmt, Rock Pavilion",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-3952",
"fax_number": "215-707-7056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-007302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015175920002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.