NPIMap

Organization Active NPI

Robert P. Martini Jr, D.C.

  • Chiropractor
  • Port Matilda, PA
National Provider Identifier
1730132671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005430L Issued in PA
Legal business name
ROBERT P. MARTINI JR, D.C.
Doing business as
Skytop Chiropractic Life Center
Practice address
1243 Skytop Mountain Rd
Suite1
Port Matilda, PA 16870-7719
Phone
(814) 238-6300
Fax
(814) 238-0976
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert P Martini Jr., D.O.NPI 1225091077
Title
Owner
Phone
(814) 238-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC005430L PA Primary

Addresses

Primary practice location

1243 Skytop Mountain Rd
Suite1
Port Matilda, PA 16870-7719

Mailing address

1243 Skytop Mountain Rd
Suite1
Port Matilda, PA 16870-7719
Phone (814) 238-6300

Other identifiers 3

IdentifierTypeStateIssuer
0006177350001MedicaidPA
POO268769OtherPAGROUP RAILROAD MEDICARE
0014255700001MedicaidPA

Other names 1

  • Skytop Chiropractic Life Center Doing business as

National Provider Directory

National Provider Directory

Locations

1243 Skytop Mountain Rd
Ste 1
Port Matilda, PA 16870
Phone (814) 238-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730132671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD",
            "address_2": "SUITE1",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707719",
            "telephone_number": "814-238-6300",
            "fax_number": "814-238-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD",
            "address_2": "SUITE1",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707719",
            "telephone_number": "814-238-6300",
            "fax_number": "814-238-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. MARTINI JR, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-238-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005430L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006177350001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "POO268769",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014255700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skytop Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.