Individual provider Active NPI

Martha Joan Garlick, PT, DPT, MS, CCS

  • Cardiopulmonary Physical Therapist
  • Somerville, MA
National Provider Identifier
1831218403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X
License
6566 Issued in MA
Practice address
32 Foskett St
1
Somerville, MA 02144-2108
Phone
(617) 764-2704
Fax
(617) 726-8012
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X 6566 MA Primary

Addresses

Primary practice location

32 Foskett St
1
Somerville, MA 02144-2108

Mailing address

32 Foskett St
1
Somerville, MA 02144-2108
Phone (617) 764-2704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6566MAMDCardiopulmonary Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831218403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FOSKETT ST",
            "address_2": "1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442108",
            "telephone_number": "617-764-2704",
            "fax_number": "617-726-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 FOSKETT ST",
            "address_2": "1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442108",
            "telephone_number": "617-764-2704",
            "fax_number": "617-726-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "MARTHA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "MA",
            "license": "6566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.