NPIMap

Organization Active NPI

Martin Physical Therapy, Inc

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1609050368
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205546 Issued in VA
Legal business name
MARTIN PHYSICAL THERAPY, INC
Practice address
27993 Cross Creek Dr
Salisbury, MD 21801-2430
Phone
(410) 219-5131
Fax
(410) 219-5132
NPI assigned
Dec 18, 2007
Organization subpart
Yes
Parent organization
MARTIN PHYSICAL THERAPY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. Stephen Edward Martin, P.T., OCSNPI 1689671067
Title
President
Phone
(410) 219-5131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X J1-0000966 DE
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 17674 MD
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2305205546 VA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X DE

Addresses

Primary practice location

27993 Cross Creek Dr
Salisbury, MD 21801-2430

Mailing address

27993 Cross Creek Dr
Salisbury, MD 21801-2430
Phone (410) 219-5131

Other identifiers 9

IdentifierTypeStateIssuer
1821045345MedicaidDE
700290OtherMDACN - UNITED HEALTH CARE
5705311OtherMDFIRST HEALTH / CCN
1821045345OtherMDRAIL ROAD MEDICARE
311903OtherMDAMERIGROUP MEDICAID
0530OtherMDWORKMANS COMP
700290OtherDEACN - UNITED HEALTH CARE
1942207568OtherDERAIL ROAD MEDICARE
5705311OtherDEFIRST HEALTH / CCN

Other names 1

  • Martin Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Martin Physical Therapy Inc

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1609050368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27993 CROSS CREEK DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012430",
            "telephone_number": "410-219-5131",
            "fax_number": "410-219-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27993 CROSS CREEK DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012430",
            "telephone_number": "410-219-5131",
            "fax_number": "410-219-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN PHYSICAL THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN PHYSICAL THERAPY, INC",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-219-5131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0000966",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17674",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205546",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821045345",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN - UNITED HEALTH CARE",
            "identifier": "700290",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH / CCN",
            "identifier": "5705311",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "1821045345",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP MEDICAID",
            "identifier": "311903",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "0530",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN - UNITED HEALTH CARE",
            "identifier": "700290",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "1942207568",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH / CCN",
            "identifier": "5705311",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.