Patricia C. Martick, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005206 Issued in CT

Practice address

22 Masonic Ave
Wallingford, CT 06492-3048

Phone

(203) 679-6909

Fax

(203) 679-6537

NPI assigned

Apr 27, 2010

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1962729178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RASTED LN",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506633",
            "telephone_number": "203-630-9165",
            "fax_number": "203-630-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MASONIC AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923048",
            "telephone_number": "203-679-6909",
            "fax_number": "203-679-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTICK",
        "first_name": "PATRICIA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marino Ocular Prosthetics LLC
• John Marino, MD
• Louis John Marino, OCULARIST OCULAR PRO
• Patricia Marr
• Kurt James Marschner, D.C.
• Jenny D Martin, LMSW
• Laura M Martineau, OTR
• Annemieke Ausloos Martino, PT, DPT
• Casey Martins, AUD
• Stacey L. Martwinski-Nardozzi, MSW

• Physical Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.