Individual provider Active NPI

Carolyn Martin, P.T.

  • Physical Therapist
  • South Miami, FL
National Provider Identifier
1871564906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19325 Issued in FL
Practice address
5975 Sunset Dr
Suite 405
South Miami, FL 33143-5166
Phone
(305) 661-8040
Fax
(305) 661-8891
NPI assigned
Jan 27, 2006
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
Physical Therapist 225100000X PT19325 FL Primary

Addresses

Primary practice location

5975 Sunset Dr
Suite 405
South Miami, FL 33143-5166

Mailing address

5975 Sunset Dr
Suite 405
South Miami, FL 33143-5166
Phone (305) 661-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000705 FL Practitioner - Physical Therapist in Private Practice 4880597137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Miami Neurology and Rehabilitation Specialists IncGroup PAC ID 3375526981, 2 clinicians

Practice addresses (Care Compare)

5975 Sunset Dr
Suite 405
South Miami, FL 33143-5198
Phone (305) 661-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Sportmedicine & Hand Therapy Center Inc Physical Therapist PastSince Apr 29, 2007 Accepting new patients
South Miami Sports Medicine Inc. Past Accepting new patients

Organizations & group practices 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871564906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR",
            "address_2": "SUITE 405",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435166",
            "telephone_number": "305-661-8040",
            "fax_number": "305-661-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR",
            "address_2": "SUITE 405",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435166",
            "telephone_number": "305-661-8040",
            "fax_number": "305-661-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

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.
  • 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.