Individual provider Active NPI

Vincent Martin III, PT, DPT

  • Physical Therapist
  • Biddeford, ME
National Provider Identifier
1558729830
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4302 Issued in ME
Practice address
46 Barra Rd
Biddeford, ME 04005-9459
Phone
(207) 294-8399
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 PTL.0013794 CO
Physical Therapist 225100000X PT4302 ME Primary

Addresses

Primary practice location

46 Barra Rd
Biddeford, ME 04005-9459

Mailing address

181 W Meadow Dr
Vail, CO 81657-5242

Other practice location 1

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-1225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221000503 ME Practitioner - Physical Therapist in Private Practice 8426460205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy LLCGroup PAC ID 7416926704, 57 clinicians

Practice addresses (Care Compare)

4 Commons Ave
Suite 4D
Windham, ME 04062-5554
Phone (207) 892-7642

600 Turner St
Suite 2
Auburn, ME 04210-5093
Phone (207) 707-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0013794COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Back in Motion Physical Therapy, LLC Physical Therapist CurrentSince Jan 5, 2021 Accepting new patients

Locations

600 Turner St
Ste 2
Auburn, ME 04210
Phone (207) 707-4788

34 Hennessey Ave
Brunswick, ME 04011
Phone (207) 373-1101

94 Main St
Gorham, ME 04038
Phone (207) 839-5225

4 Main St
Unit T2
Newport, ME 04953
Phone (207) 924-0077

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

120 Elm Plz
Waterville, ME 04901
Phone (207) 707-4789

4 Commons Ave
Ste 4D
Windham, ME 04062
Phone (207) 590-5413

Organizations & group practices 4

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1558729830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BARRA RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059459",
            "telephone_number": "207-294-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 W Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575242",
            "country_code": "US",
            "telephone_number": "970-476-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VINCENT",
        "name_suffix": "III",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013794",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.