Active NPI
Carol Lee Martinelli, MPT,WCS
- Physical Therapist
- Elkton, MD
National Provider Identifier
1487713749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18115
- Practice address
- 107 Chesapeake Blvd
Suite 100
Elkton, MD 21921-6390 - Phone
- (410) 392-9400
- Fax
- (410) 392-0577
- NPI assigned
- Dec 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18115 | MD | Primary |
| Physical Therapist | 225100000X | J1-1242 | DE |
Addresses
Primary practice location
107 Chesapeake Blvd
Suite 100
Elkton, MD 21921-6390
Mailing address
517 Wake Forest Dr
Newark, DE 19713-1197
Other names 1
- Carol Lee Hnatuk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 Maloney Rd
Elkton, MD 21921-6337
Phone (410) 392-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-1242 | DE | MD | Physical Therapist |
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.
-
- Physical Therapist
- Elkton, MD
- NPI 1366640120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1487713749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 WAKE FOREST DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CHESAPEAKE BLVD",
"address_2": "SUITE 100",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216390",
"telephone_number": "410-392-9400",
"fax_number": "410-392-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINELLI",
"first_name": "CAROL",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MPT,WCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18115",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-1242",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "HNATUK",
"middle_name": "LEE",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.