Sean Nicholas Martin, D.O
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Montverde, FL
NPI 1467643221 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1467643221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- OS10526 (FL)
- Practice address
- 17425 7TH St Ste 560174
Montverde, FL 34756-3206 - Phone
- (407) 544-0166
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
14725 7TH St
Ste. 560174
Montverde, FL 34756-3235
Phone (407) 544-0166
17425 7TH St
Suite 560174
Montverde, FL 34756-3235
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200827000535 | FL | Practitioner - Sports Medicine |
8527206549 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Health & Sports Medicine LLC | Current |
Accepting new patients | |
| Transcend Performance and Lifestyle Institute | Sports Medicine | Current |
Accepting new patients |
Locations
2749 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 559-0979
201 Village Oaks Dr
St Johns, FL 32259
Phone (904) 240-0442
115 Bartram Oaks Walk
Ste 104
St Johns, FL 32259
Phone (904) 240-0442
Interoperability endpoints
- https://api.platform.athenahealth.com/8428/brand/1/csg/1/fhir/r4
- sean.martin.1@27339.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS10526 | FL | Yes |
Addresses
Primary practice location
17425 7TH St Ste 560174
Montverde, FL 34756-3206
Mailing address
17425 7TH St Ste 560174
Montverde, FL 34756-3206
Phone (407) 544-0166
Other providers in Montverde, FL
- Grace Care Advocates LLC
- Linda Lester
- Mariah Lindsey
- Lozott
- Eugenia Lutz
- Montverde Medical Clinic PA
- Ms Phyllis Home Care LLC
- Michelle M O'Neill
- Ortho Florida, LLC
- Pivot Chiropractic LLC
All providers in Montverde, FL · Sports Medicine (Family Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.