Individual provider Active NPI

Gail Charmaine Martin, PT

  • Physical Therapist
  • Niceville, FL
National Provider Identifier
1770707697
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29220 Issued in FL
Practice address
4554 E Highway 20
Niceville, FL 32578-9755
Phone
(850) 897-7772
Fax
(888) 308-1539
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017164 PA
Physical Therapist 225100000X PT29220 FL Primary

Addresses

Primary practice location

4554 E Highway 20
Niceville, FL 32578-9755

Mailing address

PO Box 1772
Niceville, FL 32588-1772
Phone (850) 897-7772

Other practice location 1

2300 Partin Dr N
Niceville
Niceville, FL 32578-1538
Phone (850) 678-5500

Other names 1

  • Gail Charmaine Alcantara Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416002949 FL Practitioner - Physical Therapist in Private Practice 0941306260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Manual Physical Therapy LLCGroup PAC ID 2365566767, 6 clinicians

Practice addresses (Care Compare)

4554 E Hwy 20
Niceville, FL 32578-9755
Phone (850) 897-7772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29220FLMDPhysical Therapist
PT017164PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Manual Physical Therapy LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

728 N Ferdon Blvd
Ste 3
Crestview, FL 32536
Phone (850) 682-7772

4554 E Highway 20
Niceville, FL 32578
Phone (850) 279-6267

4554 E Highway 20
Ste B
Niceville, FL 32578
Phone (850) 897-7772

Organizations & group practices 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1770707697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1772",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325881772",
            "telephone_number": "850-897-7772",
            "fax_number": "888-308-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E HIGHWAY 20",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789755",
            "telephone_number": "850-897-7772",
            "fax_number": "888-308-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Partin Dr N",
            "address_2": "Niceville",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325781538",
            "country_code": "US",
            "telephone_number": "850-678-5500",
            "fax_number": "850-678-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GAIL",
        "middle_name": "CHARMAINE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017164",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "ALCANTARA",
            "middle_name": "CHARMAINE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.