Active NPI
David Walker Martin, LMT
- Mechanotherapist
- Alexandria, LA
National Provider Identifier
1669646865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 1854
- Practice address
- 5615M Jackson Street Ext Ste 102
Alexandria, LA 71303-2274 - Phone
- (318) 442-1100
- Fax
- (318) 442-4020
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 1854 | LA | Primary |
Addresses
Primary practice location
5615M Jackson Street Ext Ste 102
Alexandria, LA 71303-2274
Mailing address
5615M Jackson Street Ext Ste 102
Alexandria, LA 71303-2274
Phone (318) 442-1100
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1669646865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615M JACKSON STREET EXT STE 102",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032274",
"telephone_number": "318-442-1100",
"fax_number": "318-442-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615M JACKSON STREET EXT STE 102",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032274",
"telephone_number": "318-442-1100",
"fax_number": "318-442-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DAVID",
"middle_name": "WALKER",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "LA",
"license": "1854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.