Organization Active NPI

Martin Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Snow Hill, MD
National Provider Identifier
1821045345
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
J1-0000966 Issued in DE
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

Updated by the provider on Apr 19, 2018

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 17674 MD
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X J1-0000966 DE
Ergonomics Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251E1200X 17674 MD
Ergonomics Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251E1200X J1-0000966 DE
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X 17674 MD
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0530OtherMDWORKMANS COMP
700290OtherMDACN - UNITED HEALTH
DF1647OtherDERAILROAD MEDICARE
311903OtherMDAMERIGROUP
5705311OtherMDFIRST HEALTH/CCN

Other names 1

  • Martin Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.