Individual provider Active NPI

Colin Martin, PT

  • Specialist
  • Russellville, AL
National Provider Identifier
1639103450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTH2329 Issued in AL
Practice address
14001 Highway 43
Franklin Plaza Suite 18 & 19
Russellville, AL 35653-2848
Phone
(256) 331-0070
Fax
(256) 331-0054
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTH2329 AL Primary

Addresses

Primary practice location

14001 Highway 43
Franklin Plaza Suite 18 & 19
Russellville, AL 35653-2848

Mailing address

1110 Twin Pines Cir
Tuscumbia, AL 35674-7704
Phone (256) 332-1871

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

LicenseStateTypeSpecialty
PTH2329ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc PastSince Oct 20, 2014 Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Montrose Memorial Hospital, Inc PastSince Mar 19, 2018 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639103450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 TWIN PINES CIR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356747704",
            "telephone_number": "256-332-1871",
            "fax_number": "256-350-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 HIGHWAY 43",
            "address_2": "FRANKLIN PLAZA SUITE 18 & 19",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532848",
            "telephone_number": "256-331-0070",
            "fax_number": "256-331-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "COLIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "PTH2329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.