Active NPI
Martin K Childers, DO, PHD
- Physical Medicine & Rehabilitation Physician
- Seattle, WA
National Provider Identifier
1669408027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OP60268790
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-0001 - Phone
- (206) 598-4295
- Fax
- (206) 598-2813
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | OP60268790 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-0001
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0296281 | Other | WA | L&I |
| 1669408027 | Medicaid | WA |
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
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP60268790 | WA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1669408027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-543-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-598-4295",
"fax_number": "206-598-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "MARTIN",
"middle_name": "K",
"credential": "DO, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "OP60268790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0296281",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669408027",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Child Psychology Northwest, P.S.
- Daniel David Child, MD, PHD
- Charles Kristian Childers, MD
- Christopher Childers, M.D.
- Jesse David Childers, LMT
- Children'S Communication Corner
- Children'S Home Society of Washington
- Children'S Hospital & Regional Medical Center 2
- Children'S Hospital and Regional Medical Center
- Children'S Hospital and Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.