Active NPI
Mark Christopher Martire, PT
- Physical Therapist
- Shelton, CT
National Provider Identifier
1952432916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008606
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000154 | CT | MD | Registered Dietitian |
| 008606 | CT | MD | Physical Therapist |
| 10502 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthopaedic Surgery Physician
- Hamden, CT
- NPI 1235181389
Physical Therapist
-
- Rehabilitation Clinic/Center
- Murrells Inlet, SC
- NPI 1093123531
-
- Rehabilitation Clinic/Center
- Georgetown, SC
- NPI 1366850919
-
- Rehabilitation Clinic/Center
- Myrtle Beach, SC
- NPI 1831507235
-
- Rehabilitation Clinic/Center
- North Myrtle Beach, SC
- NPI 1952767519
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.