Individual provider Active NPI

Michael Thomas Martini, DC

  • Chiropractor
  • Portage, MI
National Provider Identifier
1811548555
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010871 Issued in MI
Practice address
1930 W Milham Ave Ste D
Portage, MI 49024-2228
Phone
(269) 345-2273
NPI assigned
Sep 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010871 MI Primary

Addresses

Primary practice location

1930 W Milham Ave Ste D
Portage, MI 49024-2228

Mailing address

1930 W Milham Ave Ste D
Portage, MI 49024-2228
Phone (815) 993-6753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.michael@bthclinics.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414000897 IL Practitioner - Chiropractic 8921330630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1402 Columbus St
Ottawa, IL 61350-2008
Phone (815) 324-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martini Chiropractic, PLLC Chiropractor CurrentSince Feb 11, 2025 Accepting new patients

Locations

1402 Columbus St
Ottawa, IL 61350
Phone (815) 324-9026

1402 Columbus St
Ste 2
Ottawa, IL 61350
Phone (815) 324-9026

Organizations & group practices 1

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1811548555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W MILHAM AVE STE D",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242228",
            "telephone_number": "815-993-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W MILHAM AVE STE D",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242228",
            "telephone_number": "269-345-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.michael@bthclinics.com",
            "affiliation": "N",
            "address_1": "1930 W Milham Ave Ste D",
            "city": "Portage",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490242228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.