Martha Blair Gwaltney, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P13736 Issued in NC

Practice address

1317 N Brightleaf Blvd Ste a
Smithfield, NC 27577-7267

Phone

(919) 300-5040

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

FBT of Wake LLCGroup PAC ID 4284165705, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

85.21

Promoting interoperability

99

Improvement activities

40

Cost

77.85

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martha.gwaltney.p12@direct.athleticoltd.nextgenshare.com

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.

• FBT of Wake LLC

  dba Fyzical Therapy & Balance Center

  • Physical Therapy Clinic/Center
  • Wilson, NC
  • NPI 1295577203

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1912258674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N BRIGHTLEAF BLVD STE A",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275777267",
            "telephone_number": "919-300-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Scenic Hwy N",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782226",
            "country_code": "US",
            "telephone_number": "678-459-3758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWALTNEY",
        "first_name": "MARTHA",
        "middle_name": "BLAIR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kena A Grimsley, PT
• James Gray Groce, MD
• Usha Guduru, M.D.
• Lisa M Guerrieri-Herrmann, LCSW
• Devang Dinesh Gujarathi, M.D.
• Robin Ashley Hackmann Leib, A.N.P.
• Bradford Austin Hackney, PA-C
• Ivey Jean Hagwood
• Michael Joseph Haines, O.D.
• Sarah Haley

• Physical Therapist in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.