Individual provider Active NPI

Donatella P Donatelli Martin, PT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1457547721
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6024 Issued in CO
Practice address
7821 W 38TH Ave
Suite 101
Wheat Ridge, CO 80033-6109
Phone
(303) 333-3493
Fax
(303) 420-4649
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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 6024 CO Primary

Addresses

Primary practice location

7821 W 38TH Ave
Suite 101
Wheat Ridge, CO 80033-6109

Mailing address

1297 S Beeler CT
Denver, CO 80247-2349

Other names 1

  • Donatella P Martin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DONATELLA.MARTIN@hca3.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000209 CO Practitioner - Physical Therapist in Private Practice 9537257605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6024COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Pediatric Specialties LLC CurrentSince May 15, 2019 Accepting new patients

Locations

2055 N High St
Ste 370
Denver, CO 80205

10107 Ridgegate Pkwy
Ste 310
Lone Tree, CO 80124
Phone (303) 361-2663

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1457547721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 S BEELER CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 W 38TH AVE",
            "address_2": "SUITE 101",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336109",
            "telephone_number": "303-333-3493",
            "fax_number": "303-420-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI MARTIN",
        "first_name": "DONATELLA",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DONATELLA.MARTIN@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7821 W 38th Ave",
            "address_2": "SUITE 101",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800336109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DONATELLA",
            "last_name": "MARTIN",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.