Heidi Martino, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07563 Issued in MD

Practice address

2700 Spartan Rd
Olney, MD 20832-1500

Phone

(240) 722-1800

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1932579059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 MORNINGBIRD LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453507",
            "telephone_number": "301-788-5330",
            "fax_number": "410-442-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SPARTAN RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321500",
            "telephone_number": "240-722-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Wallington Way",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Marriottsville",
            "state": "MD",
            "postal_code": "211041505",
            "country_code": "US",
            "telephone_number": "410-442-9791",
            "fax_number": "410-442-9783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Olney, MD
• Providers in Olney, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.