Martin Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

013992 Issued in NY

Legal business name

MARTIN PHYSICAL THERAPY, P.C.

Practice address

2171 Jericho Tpke
Suite 342
Commack, NY 11725-2937

Phone

(631) 838-0802

Fax

(631) 499-1319

NPI assigned

Mar 15, 2010

Last updated

Mar 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne M Martin, MA, PTNPI 1023164084

Title

Physical Therapist/President

Phone

(631) 838-0802

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanne Marie Martin, M.A., P.T.

  • Physical Therapist
  • Commack, NY
  • NPI 1023164084
  NPD (past) Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1568786945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VINE HAVEN LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253116",
            "telephone_number": "631-838-0802",
            "fax_number": "631-499-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE",
            "address_2": "SUITE 342",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252937",
            "telephone_number": "631-838-0802",
            "fax_number": "631-499-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "631-838-0802",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "013992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A. Markowitz, D.D.S.
• Marra Glick Applied Behavior Solutions
• Christine Marra, PH.D
• Lauren Marra
• Christine Marren, FNP-C
• Jeanne Marie Martin, M.A., P.T.
• Kevin A Martin, DMD
• Tara Dawn Martinez, DO
• Lynda Martins, DO
• Mary J Thomas MD PC

• Physical Therapy Clinic/Center in Commack, NY
• Providers in Commack, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.