Nicholas John Martin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029831 Issued in PA

Practice address

708 W Nields St
West Chester, PA 19382-2128

Phone

(484) 460-3900

NPI assigned

Aug 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Physical Therapy Associates, P.C.Group PAC ID 4880799477, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optimum Physical Therapy Associates, P.C.

  • Physical Therapist
  • Swarthmore, PA
  • NPI 1467521427
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1821765934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 TURNER LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804533",
            "telephone_number": "610-344-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822128",
            "telephone_number": "484-460-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Turner Ln",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804533",
            "country_code": "US",
            "telephone_number": "610-344-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellina Marshall
• Martin S Goldberg DDS PC
• Erin Martin
• Jamie Danielle Martin
• Kimberly Martin, PT
• Siena Jarvis Martin
• Amy Martinelli, OT
• Christine M Martinez, LSW
• Janet Cristina Martinez, CNM
• Margaret B. Marvin, ED.D

• Physical Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.