Vivian Martin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1880 Issued in OK

Practice address

432 South 9TH
Jay, OK 74346

Phone

(918) 253-4511

NPI assigned

Apr 17, 2017

Sex

Female

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1972037950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743460370",
            "telephone_number": "918-253-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SOUTH 9TH",
            "city": "JAY",
            "state": "OK",
            "postal_code": "74346",
            "telephone_number": "918-253-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VIVIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rae Maddox, BS
• Elizabeth A Mai, LPC-C
• Holly Anne Marsh, RN
• Jacquelyn Ruth Martin
• Payton Alexandra Martin
• Deirdre Ann McAuley, MD, MPH
• Bethany Lynne McClain, BSN
• Dale L McFarland
• Charles Alan McQuigg, D.D.S.
• Mease Medical Clinic

• Physical Therapist in Jay, OK
• Providers in Jay, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.