Nicholas Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6050 Issued in NC

Practice address

740 Merritt Capital Dr Ste 105
Wake Forest, NC 27587-3740

Phone

(919) 803-0738

Fax

(919) 882-1727

NPI assigned

Jul 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• HPT, Inc

  • Physical Therapist
  • Raleigh, NC
  • NPI 1356748172
  NPD
• Performance Rehabilitation Corp.

  • Physical Therapy Clinic/Center
  • Sanford, NC
  • NPI 1508053489
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1619320751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 GREENWAY CT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306953",
            "telephone_number": "919-708-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MERRITT CAPITAL DR STE 105",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873740",
            "telephone_number": "919-803-0738",
            "fax_number": "919-882-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICHOLAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marriageforkeeps Wellness Center LLC
• Maria Marshall, PA-C
• Makenna Kendall Marti-Rasheva
• Courtney Marie Martin
• James Patrick Martin, DMD, MS
• Sandra Elizabeth Martin, DMD PA
• Jose G. Martinez, M.D.
• Mallory Martlock, DPT
• Deirdre Lee Martyn, LPA HSP-PA
• Linda Kay Masai, RDN, LDN

• All providers in Wake Forest, NC
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.