Individual provider Active NPI

Michele Martin, PTA

  • Physical Therapy Assistant
  • Topeka, KS
National Provider Identifier
1932512027
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
T-03954 Issued in KS
Practice address
5220 SW 17TH St
130
Topeka, KS 66604-2500
Phone
(785) 271-5533
Fax
(785) 271-8818
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X T-03954 KS Primary

Addresses

Primary practice location

5220 SW 17TH St
130
Topeka, KS 66604-2500

Mailing address

6422 NW 70TH St
Topeka, KS 66618-4104
Phone (785) 207-2355

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

State licenses

LicenseStateTypeSpecialty
T-03954KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Inc. PastSince Apr 1, 2005 Accepting new patients
Rebound Physical Therapy at Wood Valley Past Accepting new patients

Organizations & group practices 2

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1932512027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 NW 70TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666184104",
            "telephone_number": "785-207-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH ST",
            "address_2": "130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042500",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "T-03954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.