Robert William Martin

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA00364 Issued in RI

Practice address

1 Evergreen Dr
East Providence, RI 02914-1503

Phone

(401) 438-3250

Fax

(401) 423-4813

NPI assigned

Jun 18, 2007

Sex

Male

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

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942405147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TALLYHO RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643911",
            "telephone_number": "401-333-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EVERGREEN DR",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141503",
            "telephone_number": "401-438-3250",
            "fax_number": "401-423-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA00364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elisabeth Markiewicz, R.D., L.D.
• Caillin Wyse Marquardt, MD
• Lisa Marsh, MED, BCBA, LBA
• Nancy F Marshall, RN, MSW, LICSW
• Jennie Martin, LICSW
• Sarah Elizabeth Martin, PHD
• Christina Martins, CPNP
• Ryan V Marzetta, PT
• Tonya Ann Maselli, LICSW
• Massage Balance Massage Therapy, LLC

• Physical Therapy Assistant in East Providence, RI
• Providers in East Providence, RI by specialty
• Physical Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.