Active NPI
Martha McRacken King
- Developmental Therapist
- Sarasota, FL
National Provider Identifier
1447578794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 611 Magellan Dr
Sarasota, FL 34243-1008 - Phone
- (941) 465-7133
- Fax
- (866) 701-1969
- NPI assigned
- May 11, 2010
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
611 Magellan Dr
Sarasota, FL 34243-1008
Mailing address
611 Magellan Dr
Sarasota, FL 34243-1008
Phone (941) 465-7133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002345500 | Medicaid | FL |
Other names 1
- Miss Martha Isabel McRacken
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": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1447578794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 MAGELLAN DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342431008",
"telephone_number": "941-465-7133",
"fax_number": "866-701-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MAGELLAN DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342431008",
"telephone_number": "941-465-7133",
"fax_number": "866-701-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARTHA",
"middle_name": "MCRACKEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002345500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "MCRACKEN",
"middle_name": "ISABEL",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.