Ryan Martin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10665 Issued in AZ

Practice address

8410 W Thomas Rd Ste 136
Phoenix, AZ 85037-3374

Phone

(623) 247-4478

Fax

(623) 247-7839

NPI assigned

Aug 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Sports Medicine LLCGroup PAC ID 6800228479, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Modern Sports Medicine LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Sun Lakes, AZ
  • NPI 1285295089

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Strength Training Inc

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1518925569
  Medicare reassignment NPD
• Modern Sports Medicine LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Tucson, AZ
  • NPI 1609662709
  NPD
• Strength Training Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)
• Hawaii Sports and Balance Center

  • Physical Therapist
  • Lihue, HI
  • NPI 1639333180
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902155344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 E COTTON CENTER BLVD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850404806",
            "telephone_number": "480-779-4672",
            "fax_number": "480-272-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 W THOMAS RD STE 136",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373374",
            "telephone_number": "623-247-4478",
            "fax_number": "623-247-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 E McKellips Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852032525",
            "country_code": "US",
            "telephone_number": "480-779-4672",
            "fax_number": "480-272-8945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3537",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolaus Owen Martin, MA, BCBA, LBA
• Rachel E Martin, DPM
• Randy Martin, PTA
• Rebecca Joann Martin, PA-C
• Richard C. Martin, M.D.
• Sarah Martin, DPT
• Shae Martin, NURSING ASSITANT
• Sharidanm A. Martin, COTA
• Susan Martin
• Susan A Martin, PSYD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.