Active NPI
Paula Ann Martino, P.T.
- Physical Therapist
- Delmar, NY
National Provider Identifier
1639205776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 021641-1
- Practice address
- 467 Delaware Ave
Delmar, NY 12054-3021 - Phone
- (518) 434-4663
- NPI assigned
- Feb 25, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 021641-1 | NY | Primary |
Addresses
Primary practice location
467 Delaware Ave
Delmar, NY 12054-3021
Mailing address
51 Helen Lane
West Sand Lake, NY 12196
Phone (518) 210-3559
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 |
|---|---|---|---|
| 021641-1 | NY | MD | Physical Therapist |
| 021641 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1639205776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 HELEN LANE",
"city": "WEST SAND LAKE",
"state": "NY",
"postal_code": "12196",
"telephone_number": "518-210-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120543021",
"telephone_number": "518-434-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINO",
"first_name": "PAULA",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-25",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021641-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.