Individual provider Active NPI

P Jill Martin, P.T.

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1497932669
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 28130 Issued in FL
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

Updated by the provider on Sep 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
PT 28130FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Therapy Services, LLC PastSince Jul 22, 2019 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.

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.

Verify at the official NPI Registry.