Nicole Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI006132 Issued in PA

Practice address

1426 W Main St
Ephrata, PA 17522-1314

Phone

(717) 466-3122

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1851178263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 W MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221314",
            "telephone_number": "717-466-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221314",
            "telephone_number": "717-466-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI006132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Martin, MASSAGE THERAPIST
• Grace Martin
• Heather Noelle Martin, MS CCCSLP
• Jane W Martin, CHC
• Judith N Martin
• Nicholas V Martino Jr., PSYD
• Mark Mast, DMD
• Jessica Mastrangelo, LPC
• Moriah Lee Mathews
• Sarah Maurice, DO

• Physical Therapy Assistant in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.