Individual provider Active NPI

Rhane Martin, PT, DPT, CSCS

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1518520865
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019095 Issued in MI
Practice address
19809 Farmington Rd
Livonia, MI 48152-1444
Phone
(248) 888-0077
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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 5501019095 MI Primary

Addresses

Primary practice location

19809 Farmington Rd
Livonia, MI 48152-1444

Mailing address

19809 Farmington Rd
Livonia, MI 48152-1444
Phone (248) 888-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001787 MI Practitioner - Physical Therapist in Private Practice 0244659506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Specialists, LLCGroup PAC ID 9830324482, 16 clinicians

Practice addresses (Care Compare)

1908 W Milham Ave
Portage, MI 49024-1232
Phone (269) 459-6212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019095MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists, LLC Physical Therapist CurrentSince Sep 21, 2020 Accepting new patients

Locations

1908 W Milham Ave
Portage, MI 49024
Phone (269) 459-6212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1518520865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19809 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521444",
            "telephone_number": "248-888-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19809 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521444",
            "telephone_number": "248-888-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RHANE",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.

Verify at the official NPI Registry.