Active NPI
Rachelle Kristin Martin, PT, DPT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1811349459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012681
- Practice address
- 7211 W 110TH St
Overland Park, KS 66210-2339 - Phone
- (913) 451-7377
- Fax
- (913) 451-7375
- NPI assigned
- Jul 7, 2016
- Last updated
- Nov 14, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-05488 | KS | |
| Physical Therapist | 225100000X | 2016032645 | MO | |
| Physical Therapist | 225100000X | PT012681 | GA | Primary |
Addresses
Primary practice location
7211 W 110TH St
Overland Park, KS 66210-2339
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012681 | GA | MD | Physical Therapist |
| 11-05488 | KS | MD | Physical Therapist |
| 2016032645 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1811349459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 W 110TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102339",
"telephone_number": "913-451-7377",
"fax_number": "913-451-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RACHELLE",
"middle_name": "KRISTIN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-05488",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2016032645",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.