Vincent De Martino, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9925 Issued in MA

Practice address

1842 Beacon St
Suite 401
Brookline, MA 02445-1930

Phone

(617) 739-2899

Fax

(617) 739-5967

NPI assigned

Feb 15, 2007

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Comeback Physical Therapy, Inc.

  • Physical Therapist
  • Dorchester, MA
  • NPI 1013295054
  Medicare reassignment NPD
• North Shore Rehabilitation Associates Inc.

  • Physical Therapy Clinic/Center
  • Lynn, MA
  • NPI 1053476531

  Physical Therapist

  Medicare reassignment NPD
• North Shore Rehabilitation Associates Inc.

  • Multi-Specialty Clinic/Center
  • Lynn, MA
  • NPI 1407079759
  NPD
• Advanced Treatment Center Inc.

  • Multi-Specialty Clinic/Center
  • Brookline, MA
  • NPI 1841356607
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649313693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "address_2": "SUITE 401",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-739-2899",
            "fax_number": "617-739-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 BEACON ST",
            "address_2": "SUITE 401",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451930",
            "telephone_number": "617-739-2899",
            "fax_number": "617-739-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARTINO",
        "first_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "9925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3782214",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "404888",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306037",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y67332",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shira Davis, LICSW
• Benjamin James Day, MA
• Dba John R Peteet MD
• Shannon De Almo, M.S.
• Laura Esther De Girolami, MD
• Gabrielle Abby Dean, LICSW
• Katherine Joan Decker, MA
• Annamarie Defeo, DDS,MS
• Diana D. Deister, MD
• Elisabetta C. Del Re, M.A.

• Physical Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.