Active NPI
Martin Physical Therapy, Inc
- Orthopedic Physical Therapist
- Snow Hill, MD
National Provider Identifier
1821045345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- J1-0000966
- Legal business name
- MARTIN PHYSICAL THERAPY, INC
- Practice address
- 200 N Washington St
Snow Hill, MD 21863-1054 - Phone
- (443) 234-5074
- Fax
- (443) 234-5087
- NPI assigned
- May 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Edward Martin, P.T., OCS
- Title
- President
- Phone
- (443) 234-5074
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17674 | MD | |
| Physical Therapist | 225100000X | J1-0000966 | DE | |
| Ergonomics Physical Therapist | 2251E1200X | 17674 | MD | |
| Ergonomics Physical Therapist | 2251E1200X | J1-0000966 | DE | |
| Orthopedic Physical Therapist | 2251X0800X | 17674 | MD | |
| Orthopedic Physical Therapist | 2251X0800X | J1-0000966 | DE | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | MD |
Addresses
Primary practice location
200 N Washington St
Snow Hill, MD 21863-1054
Mailing address
200 N Washington St
Snow Hill, MD 21863-1054
Phone (443) 234-5074
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0530 | Other | MD | WORKMANS COMP |
| 700290 | Other | MD | ACN - UNITED HEALTH |
| DF1647 | Other | DE | RAILROAD MEDICARE |
| 311903 | Other | MD | AMERIGROUP |
| 5705311 | Other | MD | FIRST HEALTH/CCN |
Other names 1
- Martin Physical Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524096000000",
"number": "1821045345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N WASHINGTON ST",
"city": "SNOW HILL",
"state": "MD",
"postal_code": "218631054",
"telephone_number": "443-234-5074",
"fax_number": "443-234-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N WASHINGTON ST",
"city": "SNOW HILL",
"state": "MD",
"postal_code": "218631054",
"telephone_number": "443-234-5074",
"fax_number": "443-234-5087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-29",
"last_updated": "2018-04-19",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-234-5074",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T., OCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "17674",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0000966",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Ergonomics",
"state": "MD",
"license": "17674",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Ergonomics",
"state": "DE",
"license": "J1-0000966",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "17674",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "DE",
"license": "J1-0000966",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMANS COMP",
"identifier": "0530",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN - UNITED HEALTH",
"identifier": "700290",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF1647",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "311903",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/CCN",
"identifier": "5705311",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Martin Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Snow Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.