Individual provider Active NPI

Mark Christopher Martire, PT

  • Physical Therapist
  • Shelton, CT
National Provider Identifier
1952432916
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008606 Issued in CT
Practice address
2 Ivy Brook Rd
Shelton, CT 06484-6416
Phone
(203) 924-2853
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008606 CT Primary
Physical Therapist 225100000X 10502 SC
Athletic Trainer 2255A2300X 000154 CT

Addresses

Primary practice location

2 Ivy Brook Rd
Shelton, CT 06484-6416

Mailing address

235 Nichols Ave
Shelton, CT 06484-5845
Phone (203) 929-5019

Other practice location 1

536 Highway 17 N
North Myrtle Beach, SC 29582-2904
Phone (843) 417-1042

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000154CTMDRegistered Dietitian
008606CTMDPhysical Therapist
10502SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora South Carolina LLC Past Accepting new patients
Connecticut Orthopaedic Specialists, PC Physical Therapist Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients

Organizations & group practices 5

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952432916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NICHOLS AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845845",
            "telephone_number": "203-929-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846416",
            "telephone_number": "203-924-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Highway 17 N",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822904",
            "country_code": "US",
            "telephone_number": "843-417-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIRE",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008606",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10502",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.