Peggy Sue Martin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1507 W Knapp St
Rice Lake, WI 54868-1383

Phone

(877) 823-0508

Fax

(866) 245-8064

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Peggy Sue Aiken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spooner Physical Therapy & Wellness Inc

  • Physical Therapist
  • Spooner, WI
  • NPI 1093226011
  NPD (past)
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Des Moines, IA
  • NPI 1871900985

  Physical Therapist

  NPD (past)
• Eastern Iowa Therapeutics PC

  dba Accelerated Rehabilitation Centers

  • Physical Therapist
  • Chicago, IL
  • NPI 1023064144
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1871666727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "888-201-1040",
            "fax_number": "866-245-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W KNAPP ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681383",
            "telephone_number": "877-823-0508",
            "fax_number": "866-245-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02104",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871666727",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "AIKEN",
            "middle_name": "SUE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marshfield Clinic (Marshfield Clinic Pharmacy)
• Marshfield Clinic (Marshfield Clinic Lakewoods Family Center)
• Marshfield Clinic Inc (Marshfield Clinic Pharmacy)
• Marshfield Clinic, Inc. (Marshfield Clinic Rice Lake Center)
• Gwen D Martin, MD
• Peter E Martin, CRNA
• Elizabeth Renee Mason, LMT
• Carol Matthys, NP
• Raelene A Mattson, NP
• Rhonda Renee Mattson, CSAC

• Physical Therapist in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.