Individual provider Active NPI

Martin Andrew Vertson, P.T., D.P.T., A.T.C.

  • Physical Therapist
  • Bremerton, WA
National Provider Identifier
1851326946
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60822534 Issued in WA
Practice address
1550 NE Riddell Rd Ste 170
Bremerton, WA 98310-3060
Phone
(360) 474-3274
Fax
(360) 824-6720
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21687 CA
Physical Therapist 225100000X PT60822534 WA Primary

Addresses

Primary practice location

1550 NE Riddell Rd Ste 170
Bremerton, WA 98310-3060

Mailing address

5050 State Highway 303 NE # 103-221
Bremerton, WA 98311-3629
Phone (360) 474-3274

Other practice location 1

26700 Towne Centre Dr Ste 120
Foothill Ranch, CA 92610-2843
Phone (949) 597-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040615001025 CA Practitioner - Physical Therapist in Private Practice 0648254169 Reassigns benefits to 1 organization
I20180928001267 WA Practitioner - Physical Therapist in Private Practice 0648254169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1550 NE Riddell Rd
Suite 170
Bremerton, WA 98310-3060
Phone (360) 474-3274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21687CAMDGeneral Practice Dentistry
PT21687CAMDPhysical Therapist
PT60822534WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intecore, Inc. Physical Therapist CurrentSince Mar 1, 2007 Accepting new patients
Intecore Wa, Inc Physical Therapist CurrentSince Jun 25, 2018 Accepting new patients
Kuwabara Chiropractic Corporation Past Accepting new patients
North Orange County Physical Rehabilitation, Inc Physical Therapist PastSince Apr 30, 2003 Accepting new patients

Locations

26741 Portola Pkwy
#1E630
Foothill Ranch, CA 92610
Phone (949) 597-2103

26741 Portola Pkwy
Ste 1E630
Foothill Rnch, CA 92610

26700 Towne Centre Dr
Ste 120
Foothill Rnch, CA 92610
Phone (949) 597-2103

23552 NE State Route 3
Ste 2B
Belfair, WA 98528
Phone (360) 205-3237

5050 State Highway 303 NE
#103221
Bremerton, WA 98311

5050 State Highway 303 NE
Bremerton, WA 98311
Phone (360) 792-2833

5050 State Highway 303 NE
Ste 103221
Bremerton, WA 98311

1550 NE Riddell Rd
Ste 170
Bremerton, WA 98310
Phone (360) 474-3274

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1851326946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 STATE HIGHWAY 303 NE # 103-221",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113629",
            "telephone_number": "360-474-3274",
            "fax_number": "360-824-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NE RIDDELL RD STE 170",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103060",
            "telephone_number": "360-474-3274",
            "fax_number": "360-824-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26700 Towne Centre Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Foothill Ranch",
            "state": "CA",
            "postal_code": "926102843",
            "country_code": "US",
            "telephone_number": "949-597-2103",
            "fax_number": "949-597-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERTSON",
        "first_name": "MARTIN",
        "middle_name": "ANDREW",
        "credential": "P.T., D.P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21687",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60822534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.