Individual provider Active NPI

Jennifer Robertson Martin, PT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1720516917
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9137 Issued in NC
Practice address
500 Americhase Dr Ste K
Greensboro, NC 27409-9507
Phone
(336) 665-8445
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 P9137 NC Primary

Addresses

Primary practice location

500 Americhase Dr Ste K
Greensboro, NC 27409-9507

Mailing address

1305 Reynolds Ridge Cir Apt 1G
Greensboro, NC 27409-9836

Other practice location 1

7700 US Highway 158
Stokesdale, NC 27357-9346
Phone (336) 643-6301

Other practice location 2

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Other names 1

  • Jennifer Lynn Robertson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmartin388237@direct.conehealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003760 NC Practitioner - Physical Therapist in Private Practice 1052740024 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Brody School of Medicine at East Carolina University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
80.57
Promoting interoperability
100
Improvement activities
40
Cost
77.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P9137NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Mar 5, 2020 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Physical Therapy of the Triad, Corp. Physical Therapist CurrentSince Mar 9, 2020 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Feb 1, 2021 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients

Locations

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

500 Americhase Dr
Ste K
Greensboro, NC 27409
Phone (336) 665-8445

2301 Battleground Ave
Ste 103
Greensboro, NC 27408
Phone (336) 665-8445

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

4443 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 663-4600

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: jmartin388237@direct.conehealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1720516917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REYNOLDS RIDGE CIR APT 1G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AMERICHASE DR STE K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099507",
            "telephone_number": "336-665-8445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 US Highway 158",
            "address_purpose": "LOCATION",
            "city": "Stokesdale",
            "state": "NC",
            "postal_code": "273579346",
            "country_code": "US",
            "telephone_number": "336-643-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1211 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011313",
            "country_code": "US",
            "telephone_number": "336-275-0927",
            "fax_number": "336-275-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "ROBERTSON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin388237@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROBERTSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.