Individual provider Active NPI

Michelle Martin, PT, DPT

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1659857704
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3122735 Issued in TX
Practice address
3301 Long Prairie Rd Ste 125
Flower Mound, TX 75022-5908
Phone
(972) 539-5795
Fax
(972) 539-5793
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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 3122735 TX Primary

Addresses

Primary practice location

3301 Long Prairie Rd Ste 125
Flower Mound, TX 75022-5908

Mailing address

3301 Long Prairie Rd Ste 125
Flower Mound, TX 75022-5908
Phone (972) 539-5795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030001440 TX Practitioner - Physical Therapist in Private Practice 7517210057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3122735TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Prairie Rehabilitation Physical Therapist PastSince Sep 19, 2018 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1659857704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LONG PRAIRIE RD STE 125",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225908",
            "telephone_number": "972-539-5795",
            "fax_number": "972-539-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LONG PRAIRIE RD STE 125",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225908",
            "telephone_number": "972-539-5795",
            "fax_number": "972-539-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELLE",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3122735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.