Active NPI
P Jill Martin, P.T.
- Physical Therapist
- Naples, FL
National Provider Identifier
1497932669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 28130
- Practice address
- 9051 Tamiami TRL N
Ste 104
Naples, FL 34108-2596 - Phone
- (239) 591-4711
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 28130 | FL | Primary |
Addresses
Primary practice location
9051 Tamiami TRL N
Ste 104
Naples, FL 34108-2596
Mailing address
818 Tanbark Dr
Apt.204
Naples, FL 34108-8571
Phone (251) 422-7530
Other names 1
- Ms. P.Jill Cleek Martin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 28130 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hall Therapy Services, LLC | Past | Accepting new patients | |
| Pelican Sports and Rehabilitation, Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Naples, FL
- NPI 1437173101
-
- Physical Therapy Clinic/Center
- Mobile, AL
- NPI 1518289412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1497932669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 TANBARK DR",
"address_2": "APT.204",
"city": "NAPLES",
"state": "FL",
"postal_code": "341088571",
"telephone_number": "251-422-7530",
"fax_number": "251-665-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 TAMIAMI TRL N",
"address_2": "STE 104",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082596",
"telephone_number": "239-591-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "P JILL",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 28130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "P.JILL",
"last_name": "MARTIN",
"middle_name": "CLEEK",
"prefix": "MS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.