Individual provider Active NPI

Elizabeth A Martin

  • Physical Therapist
  • Kingsport, TN
National Provider Identifier
1922736339
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14339 Issued in TN
Practice address
1 Sheridan SQ Ste 100
Kingsport, TN 37660-7392
Phone
(423) 230-0194
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP026201T GA
Physical Therapist 225100000X 14339 TN Primary

Addresses

Primary practice location

1 Sheridan SQ Ste 100
Kingsport, TN 37660-7392

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7147

Other practice location 1

1706 Highway 129 S Ste B
Cleveland, GA 30528-4945
Phone (706) 219-4507

Other practice location 2

203 E Butler Rd Ste C
Mauldin, SC 29662-2105
Phone (864) 268-6686

Other identifiers 1

IdentifierTypeStateIssuer
14439OtherTNPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221103000929 TN Practitioner - Physical Therapist in Private Practice 8729455779 Reassigns benefits to 1 organization
I20240129002166 GA Practitioner - Physical Therapist in Private Practice 8729455779 Reassigns benefits to 2 organizations
I20250129002867 SC Practitioner - Physical Therapist in Private Practice 8729455779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

2312 Knob Creek Rd
Suite 200
Johnson City, TN 37604-2367
Phone (423) 430-9004

6635 Roswell Rd
Atlanta, GA 30328-3103
Phone (678) 332-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jan 6, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
904 Therapy LLC PastSince Apr 10, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1706 Highway 129 S
#B
Cleveland, GA 30528
Phone (706) 219-4507

860 Duluth Hwy
Ste 140
Lawrenceville, GA 30043
Phone (470) 410-1444

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

5450 Peachtree Pkwy
Ste 1F
Peachtree Corners, GA 30092
Phone (678) 823-6100

10800 Alpharetta Hwy
Ste 176
Roswell, GA 30076
Phone (678) 364-7195

6635 Roswell Rd
Sandy Springs, GA 30328
Phone (678) 332-2030

4135 Lavista Rd
Ste 110
Tucker, GA 30084
Phone (470) 568-2622

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

2125 E Main St
Ste 400
Spartanburg, SC 29307
Phone (864) 285-3615

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

2312 Knob Creek Rd
Ste 200
Johnson City, TN 37604
Phone (423) 232-8302

1 Sheridan Sq
Ste 100
Kingsport, TN 37660
Phone (423) 230-0194

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 7

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1922736339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN SQ STE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607392",
            "telephone_number": "423-230-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 Highway 129 S Ste B",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "GA",
            "postal_code": "305284945",
            "country_code": "US",
            "telephone_number": "706-219-4507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Butler Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Mauldin",
            "state": "SC",
            "postal_code": "296622105",
            "country_code": "US",
            "telephone_number": "864-268-6686",
            "fax_number": "864-326-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP026201T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "14439",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.