Active NPI
Kevin Joseph Martin, PT
- Physical Therapist
- Rockport, ME
National Provider Identifier
1457577447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2883
- Practice address
- 6 Glen Cove Drive
Rockport, ME 04856 - Phone
- (207) 593-5545
- Fax
- (207) 593-5266
- NPI assigned
- Apr 18, 2007
- 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 | PT2883 | ME | Primary |
Addresses
Primary practice location
6 Glen Cove Drive
Rockport, ME 04856
Mailing address
330 Youngtown Rd
Lincolnville, ME 04849
Phone (207) 975-1829
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2883 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457577447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 YOUNGTOWN RD",
"city": "LINCOLNVILLE",
"state": "ME",
"postal_code": "04849",
"telephone_number": "207-975-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GLEN COVE DRIVE",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "04856",
"telephone_number": "207-593-5545",
"fax_number": "207-593-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KEVIN",
"middle_name": "JOSEPH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT2883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.