Active NPI
Thomas Michael Martin, RPT
- Specialist
- Bridgeport, WV
National Provider Identifier
1497759450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000437
- Practice address
- 39 Windsor Dr
Bridgeport, WV 26330 - Phone
- (304) 842-3137
- Fax
- (304) 842-3138
- NPI assigned
- Jun 8, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 000437 | WV | Primary |
Addresses
Primary practice location
39 Windsor Dr
Bridgeport, WV 26330
Mailing address
39 Windsor Dr
Bridgeport, WV 26330-2807
Phone (304) 842-3137
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01071873100 | Other | WV | WORKERS' COMPENSATION |
| 33664 | Other | WV | HEALTH ASSURANCE |
| 398792 | Other | WV | OPTIMUM CHOICE |
| 1382862 | Other | WV | UMWA |
| 5235074 | Other | WV | AETNA |
| 7301125000 | Medicaid | WV | |
| WV51916B | Other | WV | HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000437 | WV | MD | Specialist |
| 437 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgeport Physical Therapy Services, Inc. | Specialist | Current | Accepting new patients |
| Bridgeport Physical Therapy Services, Inc. | Current | Accepting new patients |
Locations
306 W Main St
Bridgeport, WV 26330
Phone (304) 842-3137
Organizations & group practices 2
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.
-
- Specialist
- Bridgeport, WV
- NPI 1912086158
-
- Physical Therapist
- Bridgeport, WV
- NPI 1588146658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497759450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 WINDSOR DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263302807",
"telephone_number": "304-842-3137",
"fax_number": "304-842-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 WINDSOR DR",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-842-3137",
"fax_number": "304-842-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "000437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION",
"identifier": "01071873100",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "33664",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "398792",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1382862",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5235074",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301125000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "WV51916B",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.