Individual provider Active NPI

Gina Marie Martini, DPT

  • Physical Therapist
  • New Hartford, NY
National Provider Identifier
1770201618
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048992-01 Issued in NY
Practice address
104 New Hartford Shopping Ctr
New Hartford, NY 13413-1618
Phone
(315) 793-1878
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 048992-01 NY Primary

Addresses

Primary practice location

104 New Hartford Shopping Ctr
New Hartford, NY 13413-1618

Mailing address

104 New Hartford Shopping Ctr
New Hartford, NY 13413-1618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131001740 NY Practitioner - Physical Therapist in Private Practice 7517338411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madden and Gschwind Braman, PT, PCGroup PAC ID 5294752572, 7 clinicians

Practice addresses (Care Compare)

104 New Hartford Shopping Ctr
New Hartford, NY 13413-1618

3899 Oneida St
BLDG C
New Hartford, NY 13413-9707
Phone (315) 793-1878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048992-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madden & Gschwind Braman, PT, PC Physical Therapist CurrentSince Nov 18, 2022 Accepting new patients

Locations

104 New Hartford Shopping Ctr
New Hartford, NY 13413
Phone (315) 793-1878

3899 Oneida St
Bldg C
New Hartford, NY 13413
Phone (315) 793-1878

Organizations & group practices 1

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1770201618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NEW HARTFORD SHOPPING CTR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NEW HARTFORD SHOPPING CTR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131618",
            "telephone_number": "315-793-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048992-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.