Individual provider Active NPI

Martha L McDonald, MSPT

  • Physical Therapist
  • Basalt, CO
National Provider Identifier
1902361199
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0007224 Issued in CO
Practice address
1450 E Valley Rd Unit 203
Basalt, CO 81621-8352
Phone
(970) 927-9319
NPI assigned
Feb 1, 2019
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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 0007224 CO Primary

Addresses

Primary practice location

1450 E Valley Rd Unit 203
Basalt, CO 81621-8352

Mailing address

3728 Old Lodge Rd
Glenwood Springs, CO 81601-4543
Phone (970) 309-3378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210115001352 CO Practitioner - Physical Therapist in Private Practice 8022421882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenwood Medical Associates PCGroup PAC ID 6901798404, 16 clinicians

Practice addresses (Care Compare)

406 Hyland Park Dr
Suite F
Glenwood Springs, CO 81601-4270
Phone (970) 945-0506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007224COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Medical Assoc CurrentSince Nov 1, 2023 Accepting new patients
Glenwood Medical Associates PC CurrentSince Nov 1, 2023 Accepting new patients
Roaring Fork Physical Therapy, PC Physical Therapist Past Accepting new patients
GMJM, LLC Physical Therapist Past Accepting new patients
Glenwood Medical Associates PC Past Accepting new patients

Locations

1830 Blake Ave
Ste 102
Glenwood Springs, CO 81601
Phone (970) 945-0253

406 Hyland Park Dr
Ste F
Glenwood Springs, CO 81601
Phone (970) 379-2093

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1902361199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 OLD LODGE RD",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014543",
            "telephone_number": "970-309-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD UNIT 203",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218352",
            "telephone_number": "970-927-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0007224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.