Jensen Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3517 Issued in OK

Practice address

211 E 7TH St
Okmulgee, OK 74447-4607

Phone

(918) 938-0887

NPI assigned

Jan 20, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Wonderfully Made Therapy Group, LLC

  • Pediatric Occupational Therapist
  • Okmulgee, OK
  • NPI 1376163998

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1861144800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 HOUSTON ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033528",
            "telephone_number": "918-348-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 7TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474607",
            "telephone_number": "918-938-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENSEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Okmulgee",
            "affiliation": "N",
            "address_1": "211 E 7th St",
            "city": "Okmulgee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744474607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adel Ramzi Malati, M.D.
• Hani Ramzi Malati, M.D.
• Lawanda Manous
• Michelle Elaine Marinelli, APRN
• Martha M Robinson MD PC
• Nakisha Martin, LPC
• Rhonda Lea Martin
• Raina Breann Mason
• Lauren Massey, RN, PHN
• Kameron Mathews, SLP

• Physical Therapy Assistant in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.