Active NPI
Elizabeth R Martin, PT
- Physical Therapist
- Twinsburg, OH
National Provider Identifier
1699857284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-03959
- Practice address
- 2132 Case Parkway N Suite a
Twinsburg, OH 44087 - Phone
- (330) 963-2920
- Fax
- (330) 963-2921
- NPI assigned
- Oct 20, 2006
- Last updated
- May 5, 2021
- Sex
- Female
- 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 Therapist | 225100000X | PT-03959 | OH | Primary |
Addresses
Primary practice location
2132 Case Parkway N Suite a
Twinsburg, OH 44087
Mailing address
2132 Case Parkway N Suite a
Twinsburg, OH 44087
Phone (330) 963-2920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2518841 | Medicaid | OH | |
| 31 1556919 | Other | OH | TAX-ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-03959 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1699857284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 CASE PARKWAY N SUITE A",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "44087",
"telephone_number": "330-963-2920",
"fax_number": "330-963-2921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 CASE PARKWAY N SUITE A",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "44087",
"telephone_number": "330-963-2920",
"fax_number": "330-963-2921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ELIZABETH",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-03959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2518841",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX-ID",
"identifier": "31 1556919",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.