Active NPI
James Edward Martin, DPT
- Physical Therapist
- Wilmington, OH
National Provider Identifier
1730603796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017108
- Practice address
- 720 Elm St Ste C
Wilmington, OH 45177-2878 - Phone
- (937) 283-2186
- Fax
- (937) 283-2187
- NPI assigned
- Aug 1, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | PT017108 | OH | Primary |
Addresses
Primary practice location
720 Elm St Ste C
Wilmington, OH 45177-2878
Mailing address
8836 Tyler Blvd
Mentor, OH 44060-4361
Phone (440) 255-9553
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 |
|---|---|---|---|
| PT017108 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730603796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8836 TYLER BLVD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440604361",
"telephone_number": "440-255-9553",
"fax_number": "440-255-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ELM ST STE C",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772878",
"telephone_number": "937-283-2186",
"fax_number": "937-283-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2022-07-21",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.