Individual provider Active NPI

Lydia Martin, PT,DPT

  • Physical Therapist
  • Sneads Ferry, NC
National Provider Identifier
1689331779
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301328 Issued in CA
Practice address
1072 NC 210
Suite D
Sneads Ferry, NC 28460
Phone
(910) 327-0418
NPI assigned
Nov 23, 2021
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 301328 CA Primary

Addresses

Primary practice location

1072 NC 210
Suite D
Sneads Ferry, NC 28460

Mailing address

1072 NC 210
Suite D
Sneads Ferry, NC 28460
Phone (910) 327-0418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113001307 CA Practitioner - Physical Therapist in Private Practice 9234521766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians
Hampstead Physical TherapyGroup PAC ID 9436234580, 6 clinicians

Practice addresses (Care Compare)

2367 N Oxnard Blvd
Oxnard, CA 93036-2000
Phone (805) 250-7505

2660 NC Hwy 210 E
Suite 102
Hampstead, NC 28443-8110
Phone (910) 803-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Trees Physical Therapy & Wellness Inc Multi-Specialty CurrentSince Jan 10, 2022 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Second Wave Physical Therapy Inc. Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Hampstead Physical Therapy Multi-Specialty CurrentSince Jul 6, 2026 Accepting new patients

Locations

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

2367 N Oxnard Blvd
Oxnard, CA 93036
Phone (805) 250-7505

721 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

735 W Channel Islands Blvd
Port Hueneme, CA 93041
Phone (805) 250-7505

2260 Tapo St
Ste B117
Simi Valley, CA 93063

2895 Loma Vista Rd
Ste H
Ventura, CA 93003
Phone (805) 269-6316

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

2660 NC Highway 210 E
Ste 102
Hampstead, NC 28443
Phone (910) 803-2424

1072 NC Highway 210
#D
Sneads Ferry, NC 28460
Phone (910) 327-0418

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1689331779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 NC 210",
            "address_2": "SUITE D",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "28460",
            "telephone_number": "910-327-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 NC 210",
            "address_2": "SUITE D",
            "city": "SNEADS FERRY",
            "state": "NC",
            "postal_code": "28460",
            "telephone_number": "910-327-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LYDIA",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sneads Ferry, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.