Active NPI
Eva Dickinson Martin, DPT
- Physical Therapist
- Augusta, GA
National Provider Identifier
1790108041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011301
- Practice address
- 106 Pleasant Home Rd Ste 2K
Augusta, GA 30907-0510 - Phone
- (707) 724-6543
- Fax
- (206) 350-9023
- NPI assigned
- Jan 22, 2014
- Sex
- Female
- 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 | PT011301 | GA | Primary |
Addresses
Primary practice location
106 Pleasant Home Rd Ste 2K
Augusta, GA 30907-0510
Mailing address
3669 Foxfire PL Ste 250
Augusta, GA 30907-7902
Phone (706) 360-4234
Other practice location 1
2258 Wrightsboro Rd
Suite 250
Augusta, GA 30904-4887
Phone (706) 724-6543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Chicago, IL 60622
Phone (405) 821-6648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reinvent Health Inc | Physical Therapist | Current | Accepting new patients |
| Synergy Care Southeast, LLC | Physical Therapist | Current | Accepting new patients |
Locations
117 N Western Ave
Peoria, IL 61604
Phone (309) 674-2400
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": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1790108041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3669 FOXFIRE PL STE 250",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309077902",
"telephone_number": "706-360-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PLEASANT HOME RD STE 2K",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309070510",
"telephone_number": "707-724-6543",
"fax_number": "206-350-9023"
}
],
"practiceLocations": [
{
"address_1": "2258 Wrightsboro Rd",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309044887",
"country_code": "US",
"telephone_number": "706-724-6543",
"fax_number": "206-350-9023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "EVA",
"middle_name": "DICKINSON",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.