Active NPI
Amy Jean Martin, PT
- Physical Therapist
- Fort Thomas, KY
National Provider Identifier
1639388895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003341
- Practice address
- 48 Gregory LN
Fort Thomas, KY 41075-1030 - Phone
- (859) 781-5964
- Fax
- (859) 781-0448
- NPI assigned
- May 22, 2007
- Last updated
- Apr 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 003341 | KY | Primary |
Addresses
Primary practice location
48 Gregory LN
Fort Thomas, KY 41075-1030
Mailing address
7536 US Hwy 42
Suite 2
Florence, KY 41042
Phone (859) 918-5045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100643760 | Medicaid | KY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003341 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Specialists, Inc. | Current | Accepting new patients |
Locations
7536 US Highway 42
Florence, KY 41042
Phone (859) 918-5045
7536 US Route 42
Ste 2
Florence, KY 41042
Phone (859) 391-7118
Organizations & group practices 1
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": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1639388895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7536 US HWY 42",
"address_2": "SUITE 2",
"city": "FLORENCE",
"state": "KY",
"postal_code": "41042",
"telephone_number": "859-918-5045",
"fax_number": "859-757-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 GREGORY LN",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751030",
"telephone_number": "859-781-5964",
"fax_number": "859-781-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "AMY",
"middle_name": "JEAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100643760",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.