Constance Faith Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002615 Issued in GA

Practice address

405 Osigian Blvd
Warner Robins, GA 31088-8958

Phone

(478) 953-3535

NPI assigned

Sep 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Cantrell Center for Physical Therapy and Sports Medicine, P.C.

  • Physical Therapy Clinic/Center
  • Warner Robins, GA
  • NPI 1417091372
  NPD (past)

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315180800000",
    "number": "1780965723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EMERALD CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310937211",
            "telephone_number": "478-957-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888958",
            "telephone_number": "478-953-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CONSTANCE",
        "middle_name": "FAITH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Marrone, RPH
• William Marrone, PHARMD
• Ashley Marshall
• Tracy Jones Marshall, LPN
• Amy Smith Martin, M.ED., CCC-SLP
• Frank Martin Jr., BSW
• Jennifer Bonnie Martin, B.S.-CIT
• Bethany Marie Martinez, APC, NCC
• Joshua Howard Masdon, MD
• David Matthew Matheny

• Physical Therapy Assistant in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; 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.