Individual provider Active NPI

Brooks Everett Martin, PT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1659606192
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12570 Issued in TN
Practice address
11130 Kingston Pike Ste 3
Knoxville, TN 37934-2800
Phone
(865) 777-1080
Fax
(865) 777-1085
NPI assigned
Oct 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 12570 TN Primary

Addresses

Primary practice location

11130 Kingston Pike Ste 3
Knoxville, TN 37934-2800

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

3700 NW Cary Pkwy
Suite 110
Cary, NC 27513-8446
Phone (919) 845-6160

Other practice location 2

7557 Dannaher Dr Ste G30
Powell, TN 37849-3560
Phone (865) 512-1140

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotennessee Physical Therapist Past Accepting new patients
Hovis Orthopaedic Clinic PC PastSince Dec 1, 2019 Accepting new patients
Orthotennessee, PC PastSince Dec 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brooks.martin.p1@direct.orthotn.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1659606192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 KINGSTON PIKE STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342800",
            "telephone_number": "865-777-1080",
            "fax_number": "865-777-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 NW Cary Pkwy",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138446",
            "country_code": "US",
            "telephone_number": "919-845-6160",
            "fax_number": "919-845-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7557 Dannaher Dr Ste G30",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493560",
            "country_code": "US",
            "telephone_number": "865-512-1140",
            "fax_number": "865-512-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BROOKS",
        "middle_name": "EVERETT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.