Individual provider Active NPI

Joelle L Martin, P.T.

  • Physical Therapist
  • Deland, FL
National Provider Identifier
1649693078
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 20473 Issued in FL
Practice address
113 W Chipola Ave
Suite 219
Deland, FL 32720-7512
Phone
(386) 873-7590
Fax
(866) 230-6249
NPI assigned
Jan 21, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 20473 FL Primary

Addresses

Primary practice location

113 W Chipola Ave
Suite 219
Deland, FL 32720-7512

Mailing address

PO Box 1975
Rome, GA 30162-1975
Phone (706) 204-8548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604000879 FL Practitioner - Physical Therapist in Private Practice 5395968788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Longevity SolutionsGroup PAC ID 9830681899, 2 clinicians

Practice addresses (Care Compare)

145 Middle St
Suite 1111
Lake Mary, FL 32746-3594
Phone (407) 833-6478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 20473FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Longevity Solutions Physical Therapist CurrentSince Dec 16, 2025 Accepting new patients
Therapy Partners Solutions, LLC Physical Therapist Past Accepting new patients

Locations

145 Middle St
Ste 1111
Lake Mary, FL 32746
Phone (407) 406-4607

Organizations & group practices 2

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1649693078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301621975",
            "telephone_number": "706-204-8548",
            "fax_number": "866-858-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHIPOLA AVE",
            "address_2": "SUITE 219",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207512",
            "telephone_number": "386-873-7590",
            "fax_number": "866-230-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOELLE",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.