Active NPI
Gayle Martino, MPT
- Physical Therapist
- Hazleton, PA
National Provider Identifier
1477998573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006431L
- Practice address
- 1751 E Broad St
Hazleton, PA 18201-5650 - Phone
- (570) 459-4559
- Fax
- (570) 459-4558
- NPI assigned
- May 2, 2013
- Last updated
- May 2, 2013
- 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 | PT006431L | PA | Primary |
Addresses
Primary practice location
1751 E Broad St
Hazleton, PA 18201-5650
Mailing address
1751 E Broad St
Hazleton, PA 18201-5650
Phone (570) 459-4559
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1477998573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015650",
"telephone_number": "570-459-4559",
"fax_number": "570-459-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182015650",
"telephone_number": "570-459-4559",
"fax_number": "570-459-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "GAYLE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006431L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
- Annette Marie Mann, DO
- Manor at St. Luke Village Facility Operations, LLC (The Manor at St. Luke Village)
- Kristen Marchak I
- Wendy Kristina Marek, PHARMD
- Jacquelene Helen Marrero
- James V Martino, MD
- Lauren Marie Martonick, LPC
- Tammy Marushin, MS, OTR/L
- Masias Chiorpractic Health Center
- Michael Theodore Masias, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.