Active NPI
Teresa Martin, PTA
- Physical Therapy Assistant
- Marshfield, WI
National Provider Identifier
1982843876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1545-19
- Practice address
- 611 Saint Joseph Ave
Rehab Services
Marshfield, WI 54449-1832 - Phone
- (715) 387-7885
- Fax
- (715) 389-4071
- NPI assigned
- Feb 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1545-19 | WI | Primary |
Addresses
Primary practice location
611 Saint Joseph Ave
Rehab Services
Marshfield, WI 54449-1832
Mailing address
131 Black Forest Dr
Plover, WI 54467-3139
Phone (715) 387-7885
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1545-19 | WI | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1982843876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BLACK FOREST DR",
"city": "PLOVER",
"state": "WI",
"postal_code": "544673139",
"telephone_number": "715-387-7885",
"fax_number": "715-389-4071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SAINT JOSEPH AVE",
"address_2": "REHAB SERVICES",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544491832",
"telephone_number": "715-387-7885",
"fax_number": "715-389-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "1545-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.