Individual provider Active NPI

Joanna Martin, PT

  • Physical Therapist
  • Arab, AL
National Provider Identifier
1760623573
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH5490 Issued in AL
Practice address
1412 N Brindlee Mountain Pkwy
Arab, AL 35016-5431
Phone
(256) 931-2013
Fax
(256) 931-2014
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 PTH5490 AL Primary

Addresses

Primary practice location

1412 N Brindlee Mountain Pkwy
Arab, AL 35016-5431

Mailing address

1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 340-9708

Other identifiers 2

IdentifierTypeStateIssuer
529917620MedicaidAL
1003819608OtherALGROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100621000213 AL Practitioner - Physical Therapist in Private Practice 4981734852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
90
Promoting interoperability
94
Improvement activities
40
Cost
80.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH5490ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Nov 15, 2016 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince May 1, 2012 Accepting new patients
Sportsmed Orthopaedic Specialists CurrentSince Nov 15, 2016 Accepting new patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince May 1, 2012 Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients

Locations

1510 N Brindlee Mountain Pkwy
Arab, AL 35016
Phone (256) 931-2013

1412 N Brindlee Mountain Pkwy
Arab, AL 35016
Phone (256) 325-5400

5291 Valleydale Rd
Ste 113
Birmingham, AL 35242
Phone (205) 408-4123

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1908 Flint Rd SE
Decatur, AL 35601

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1760623573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 N BRINDLEE MOUNTAIN PKWY",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350165431",
            "telephone_number": "256-931-2013",
            "fax_number": "256-931-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arab, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.