Sean Nicholas Martin, D.O

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS10526 Issued in FL

Practice address

17425 7TH St Ste 560174
Montverde, FL 34756-3206

Phone

(407) 544-0166

NPI assigned

Aug 7, 2007

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Sports MedicineAlso: Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8428/brand/1/csg/1/fhir/r4
• Direct secure messaging: sean.martin.1@27339.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transcend Performance and Lifestyle Institute

  • Sports Medicine (Family Medicine) Physician
  • Montverde, FL
  • NPI 1912583816
  Medicare reassignment NPD Authorized official
• Center for Health & Sports Medicine LLC

  • Family Medicine Physician
  • Fruit Cove, FL
  • NPI 1386963932
  Medicare reassignment NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1467643221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 7TH ST STE 560174",
            "city": "MONTVERDE",
            "state": "FL",
            "postal_code": "347563206",
            "telephone_number": "407-544-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 7TH ST STE 560174",
            "city": "MONTVERDE",
            "state": "FL",
            "postal_code": "347563206",
            "telephone_number": "407-544-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SEAN",
        "middle_name": "NICHOLAS",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-03-19",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Care Advocates LLC
• Linda Lester, M.A.
• Mariah Lindsey
• Lozott
• Eugenia Lutz
• Montverde Medical Clinic PA
• Ms Phyllis Home Care LLC
• Michelle M O'Neill, RCSWI
• Ohana Chiropractic LLC
• Ortho Florida, LLC (Transcend Performance & Lifestyle Institute)

• Sports Medicine (Family Medicine) Physician in Montverde, FL
• Providers in Montverde, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.