Active NPI
Martha E Nance, PT, CWS
- Physical Therapist
- Flowood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1300
- Practice address
- 104 Burney Dr
Flowood, MS 39232-6621 - Phone
- (601) 987-8202
- Fax
- (601) 718-0293
- NPI assigned
- Oct 31, 2006
- Last updated
- Jun 20, 2024
- Sex
- Female
- Sole proprietor
- No
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 | PT1300 | MS | Primary |
Addresses
Primary practice location
104 Burney Dr
Flowood, MS 39232-6621
Mailing address
PO Box 30594
Charlotte, NC 28230-0594
Phone (601) 987-8202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200011205 | Medicaid | MS | |
| 00123980 | Medicaid | MS |
Other names 1
- Marti Nance
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 |
|---|---|---|---|
| 1300 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Orthopaedic Clinic PLLC | Current | Accepting new patients | |
| Capital Orthopaedic Clinic, PLLC | Current | Accepting new patients |
Locations
119 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1834
104 Burney Dr
Flowood, MS 39232
Phone (601) 987-8202
106 Highland Way
Ste 102
Madison, MS 39110
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Flowood, MS
- NPI 1184299273
-
dba Capital Orthopaedic & Sports Medicine Center
- Orthopaedic Surgery Physician
- Flowood, MS
- NPI 1770687881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1548346455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30594",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282300594",
"telephone_number": "601-987-8202",
"fax_number": "601-718-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BURNEY DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392326621",
"telephone_number": "601-987-8202",
"fax_number": "601-718-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "MARTHA",
"middle_name": "E",
"credential": "PT, CWS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT1300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200011205",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123980",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTI",
"last_name": "NANCE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.