Active NPI
Joelle L Martin, P.T.
- Physical Therapist
- Deland, FL
National Provider Identifier
1649693078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 20473
- 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, 2014
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 20473 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Longevity Solutions | Physical Therapist | Current | 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.
-
- Physical Therapist
- Lake Mary, FL
- NPI 1487544623
-
- Physical Therapist
- Deland, FL
- NPI 1295101806
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.