Individual provider Active NPI

Scott Stephan Martin, R.N., M.P.T.

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1922276641
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005424 Issued in WA
Practice address
1115 N Northgate Way
Seattle, WA 98133-8913
Phone
(206) 525-1010
Fax
(206) 523-9101
NPI assigned
Feb 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN00078213 WA
Physical Therapist 225100000X PT00005424 WA Primary

Addresses

Primary practice location

1115 N Northgate Way
Seattle, WA 98133-8913

Mailing address

1115 N Northgate Way
Seattle, WA 98133-8913
Phone (206) 525-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00078213WAMDGeneral Practice Registered Nurse
PT00005424WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Therapy Center, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1922276641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N NORTHGATE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338913",
            "telephone_number": "206-525-1010",
            "fax_number": "206-523-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N NORTHGATE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338913",
            "telephone_number": "206-525-1010",
            "fax_number": "206-523-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SCOTT",
        "middle_name": "STEPHAN",
        "name_prefix": "Mr.",
        "credential": "R.N., M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN00078213",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.