Dylan Michael Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA32074 Issued in FL

Practice address

333 Tamiami TRL S Ste 207
Venice, FL 34285-2424

Phone

(941) 484-2471

NPI assigned

Jul 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greene Rehab Services PA

  • Rehabilitation Clinic/Center
  • Venice, FL
  • NPI 1831192970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1972238426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 FORESTER POND AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342434825",
            "telephone_number": "484-363-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S STE 207",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852424",
            "telephone_number": "941-484-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Quarryville",
            "state": "PA",
            "postal_code": "175669020",
            "country_code": "US",
            "telephone_number": "717-786-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DYLAN",
        "middle_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-19",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA32074",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE011902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Marshall, P.T.
• Arlette Martell Muniz, M.D.
• Linda Suzanne Martell, APRN
• Martin E Romanski DC PA
• Carla Steele Martin, ARNP
• Jane Martin
• Jasmine Y Martin, LCSW
• Virginia Carolyn Martin, PSY.D.
• Grace Marie Martinez, APRN
• Patricia Lynn Martinez, PHARM D

• Physical Therapy Assistant in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.