Keith Andrew Martin

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA23997 Issued in FL

Practice address

8551 Wakefield Dr
Palm Beach Gardens, FL 33410-6363

Phone

(561) 385-1043

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1811542020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 WAKEFIELD DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 WAKEFIELD DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106363",
            "telephone_number": "561-385-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KEITH",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyse Marrone, RD
• Martin Memorial Medical Center Inc (Cleveland Clinic Martin North, South, Tradition Hospitals)
• Ashley Elizabeth Martin
• Danielle Martin
• Kathleen Stonebrink Martin, LCSW
• Natalie Eileen Martin, PA
• Martine Senatus Arnp LLC
• Philippe Martineau, MD
• Randy M Martinelli, L.D.O.
• Claudia Christina Martinez, DMD

• Physical Therapy Assistant in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.