Jacqueline Sue Martin, BS, MS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1001 Sycamore LN
Danville, IN 46122-1474

Phone

(317) 745-7503

NPI assigned

Dec 9, 2018

Last updated

Dec 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Science

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1841761343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 N COUNTY ROAD 900 E",
            "city": "SHELBURN",
            "state": "IN",
            "postal_code": "478798155",
            "telephone_number": "812-249-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SYCAMORE LN",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221474",
            "telephone_number": "317-745-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "credential": "BS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Magie, M.S.
• Justin Mann, P.T.
• Betsy Markiewicz, PT, DPT
• Stephanie Marlow, NP-C
• Linda Marquez, NP
• Fortunata Mashibe, CRNA
• Kathryn Joann Mason, PTA
• Joshua Thomas Sajan Mathews, DO
• Kathryn Ann Mathews, ATC
• Anne Elizabeth Mattingly, M.D.

• Developmental Therapist in Danville, IN
• Providers in Danville, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.