Tracy Lynne Martin, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602365 Issued in VA

Practice address

701 W Main Blvd
Church Hill, TN 37642-3915

Phone

(423) 357-7178

NPI assigned

Apr 25, 2008

Last updated

Apr 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1508031915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 BLUE RIDGE VIEW CIR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514380",
            "telephone_number": "434-384-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAIN BLVD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423915",
            "telephone_number": "423-357-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRACY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "4297",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Keylon, NP
• Carol Light, LPN
• Christy Lyons, DPH
• Shanna Brooke Lyons
• Viorel Manole, M.D.
• Shyanna Lynn McGinnis
• April Dawn Morelock, MSN RN NE FNP-BC
• Tonya D. Moser, RN
• Johnathan Norris, PHARM D
• Rabeeya Nusrat, M.D

• Physical Therapy Assistant in Church Hill, TN
• Providers in Church Hill, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.