Active NPI
Whitney Elizabeth Martin, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1447620265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21876
- Practice address
- 15 Parkman St
Wang Ambulatory Care Center Room 128
Boston, MA 02114-3117 - Phone
- (617) 726-2961
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- 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 | 21876 | MA | Primary |
Addresses
Primary practice location
15 Parkman St
Wang Ambulatory Care Center Room 128
Boston, MA 02114-3117
Mailing address
15 Parkman St
Wang Ambulatory Care Center Room 128
Boston, MA 02114-3117
Phone (617) 726-2961
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21876 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1447620265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WANG AMBULATORY CARE CENTER ROOM 128",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WANG AMBULATORY CARE CENTER ROOM 128",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143117",
"telephone_number": "617-726-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "WHITNEY",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.