Individual provider Active NPI

William H Martin, PT

  • Physical Therapist
  • Starkville, MS
National Provider Identifier
1942439252
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4501 Issued in MS
Practice address
513 Academy Rd
Starkville, MS 39759-4021
Phone
(662) 268-8013
Fax
(662) 268-8095
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4501 MS Primary

Addresses

Primary practice location

513 Academy Rd
Starkville, MS 39759-4021

Mailing address

65 Dutch LN
Columbus, MS 39702-5523
Phone (662) 241-4545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000553 MS Practitioner - Physical Therapist in Private Practice 8325192578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Getmobile LLCGroup PAC ID 3870900723, 4 clinicians

Practice addresses (Care Compare)

Starkville, MS 39759
Phone (662) 907-0391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Getmobile LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients

Locations

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

65 Dutch Ln
Columbus, MS 39702
Phone (662) 241-4545

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

513 Academy Rd
Starkville, MS 39759
Phone (662) 268-8013

Organizations & group practices 3

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1942439252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DUTCH LN",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025523",
            "telephone_number": "662-241-4545",
            "fax_number": "662-241-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 ACADEMY RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594021",
            "telephone_number": "662-268-8013",
            "fax_number": "662-268-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.