NPIMap

Individual provider Active NPI

Stephen Edward Martin, PT

  • Orthopedic Physical Therapist
  • Snow Hill, MD
National Provider Identifier
1689671067
Registry record updated Nov 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
17674 Issued in MD
Practice address
200 N Washington St
Snow Hill, MD 21863-1054
Phone
(443) 234-5074
Fax
(443) 234-5087
NPI assigned
Jun 30, 2005
Last updated
Nov 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X 17674 MD
Ergonomics Physical Therapist 2251E1200X J10000966 DE
Orthopedic Physical Therapist 2251X0800X J10000966 DE
Orthopedic Physical Therapist 2251X0800X 17674 MD Primary

Addresses

Primary practice location

200 N Washington St
Snow Hill, MD 21863-1054

Mailing address

200 N Washington St
Snow Hill, MD 21863-1054
Phone (443) 234-5074

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

State licenses

LicenseStateTypeSpecialty
J10000966DEMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Physical Therapy, Inc Past Accepting new patients

Organizations & group practices 3

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448496000000",
    "number": "1689671067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N WASHINGTON ST",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218631054",
            "telephone_number": "443-234-5074",
            "fax_number": "443-234-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N WASHINGTON ST",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218631054",
            "telephone_number": "443-234-5074",
            "fax_number": "443-234-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "MD",
            "license": "17674",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "DE",
            "license": "J10000966",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J10000966",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "17674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2015; 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.