Brendan Martin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1234 Summer St # 102
Stamford, CT 06905-5558

Phone

(203) 653-7269

NPI assigned

Aug 20, 2024

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Holding Company, LLCGroup PAC ID 3678836061, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elevate Holding Company, LLC

  • Specialist
  • Yorktown Heights, NY
  • NPI 1851804488

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Elevate PT- Stamford PLLC

  • Specialist
  • Stamford, CT
  • NPI 1477106482
  NPD
• Elevate Professional Services, LLC

  • Specialist
  • Darien, CT
  • NPI 1114430782
  NPD (past)
• Elevate PT - Trumbull PLLC

  • Specialist
  • Trumbull, CT
  • NPI 1710571062
  NPD (past)

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1639902349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SUMMER ST # 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SUMMER ST # 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055558",
            "telephone_number": "203-653-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRENDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverley A. Marr, D.C.
• Jessica Gerrity Marraffa, RN
• Cynthia Marroquin, LMSW
• Marsha a. Techeira, LMFT, LLC
• Angela Martello
• Danielle Mia Martin, BCBA
• Dorothy Martin
• Joanne Martin, LPC
• Philease J Martin
• Scott Raymond Martin, M.D.

• Physical Therapist in Stamford, CT
• Providers in Stamford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.