Individual provider Active NPI

Donald Martin, PT

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1538357744
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA01153600 Issued in NJ
Practice address
870 Palisade Ave Ste 203
Teaneck, NJ 07666-3445
Phone
(201) 399-0100
Fax
(201) 399-0101
NPI assigned
Oct 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01153600 NJ
Specialist 174400000X 40QA01153600 NJ Primary

Addresses

Primary practice location

870 Palisade Ave Ste 203
Teaneck, NJ 07666-3445

Mailing address

870 Palisade Ave Ste 203
Teaneck, NJ 07666-3445
Phone (201) 399-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071129000447 NJ Practitioner - Physical Therapist in Private Practice 2264521145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Move Physical Therapy LLCGroup PAC ID 5890138747, 2 clinicians

Practice addresses (Care Compare)

870 Palisade Ave
Suite 203
Teaneck, NJ 07666-3445
Phone (518) 469-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Move Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Columbia Doctors of New Jersey, P. C. Past Accepting new patients

Locations

870 Palisade Ave
Ste 203
Teaneck, NJ 07666
Phone (201) 836-3867

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1538357744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 203",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663445",
            "telephone_number": "201-399-0100",
            "fax_number": "201-399-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE STE 203",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663445",
            "telephone_number": "201-399-0100",
            "fax_number": "201-399-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DONALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01153600",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01153600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.