Active NPI
Colin Martin, PT
- Specialist
- Russellville, AL
National Provider Identifier
1639103450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTH2329
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH2329 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc | Past | Accepting new patients | |
| Encore Rehabilitation, Inc. | Past | Accepting new patients | |
| Montrose Memorial Hospital, Inc | Past | 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.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1003819608
-
dba Encore Coast Hand Therapy
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
-
- Diagnostic Radiology Physician
- Montrose, CO
- NPI 1437997947
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.