Individual provider Active NPI

Francis Joseph Martin, PT

  • Physical Therapist
  • Elliott City, MD
National Provider Identifier
1811050164
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19340 Issued in MD
Practice address
5024 Dorsey Hall Drive
Suite 103
Elliott City, MD 21042
Phone
(410) 740-1047
Fax
(410) 740-2280
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19340 MD Primary

Addresses

Primary practice location

5024 Dorsey Hall Drive
Suite 103
Elliott City, MD 21042

Mailing address

5024 Dorsey Hall Drive
Suite 103
Elliott City, MD 21042
Phone (410) 740-1047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000709 MD Practitioner - Physical Therapist in Private Practice 5294912820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McNerney and Associates PA 12 clinicians

Practice addresses (Care Compare)

5024 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7869
Phone (410) 740-1047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19340MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McNerney & Associates, P.a. Physical Therapist CurrentSince Apr 9, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5024 Dorsey Hall Dr
Ste 103
Ellicott City, MD 21042
Phone (410) 740-1047

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811050164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DRIVE",
            "address_2": "SUITE 103",
            "city": "ELLIOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-740-1047",
            "fax_number": "410-740-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DRIVE",
            "address_2": "SUITE 103",
            "city": "ELLIOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-740-1047",
            "fax_number": "410-740-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "FRANCIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elliott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.