Diane Martin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001067A Issued in IN

Practice address

4320 Holly Tree PL
Fort Wayne, IN 46804-4815

Phone

(260) 432-8173

NPI assigned

Jul 9, 2006

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1679506877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 HOLLY TREE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 HOLLY TREE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044815",
            "telephone_number": "260-432-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DIANE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad D Martin, O.D.
• Candace Louise Martin, PSY.D.
• Charles Allen Martin
• Charlotte Marie Martin
• Christina Renae Martin, COTA
• Diquaysha Martin, RBT
• Donovan P Martin, MA, NCC, LMHC
• Emily Martin
• George L Martin, M.D.
• Gillian Elise Martin

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.