Donavin L Martin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

728 Issued in ND

Practice address

900 E Broadway Ave
Bismarck, ND 58501

Phone

(701) 530-7000

Fax

(701) 530-8842

NPI assigned

Jan 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1891972600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "address_2": "P.O. BOX 5510",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065510",
            "telephone_number": "701-530-7000",
            "fax_number": "701-530-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-530-7000",
            "fax_number": "701-530-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DONAVIN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "728",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeryca J Martell, BCBA
• Kara Lynn Martell
• Kevin F Martian, PHARM.D.
• Andrea Jayne Martin, LPCC
• Donald Christopher Martin, CRNA
• Doug Martin
• Kent C Martin, MD
• Lori Martin
• Paula G Martin, OT
• Sarah Martin

• Physical Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.