Organization
MARTIN PHYSICAL THERAPY, INC
Active
Parent organization
MARTIN PHYSICAL THERAPY, INC
Other names
Martin Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARTIN PHYSICAL THERAPY, INC
Authorized official
MR. STEPHEN EDWARD MARTIN P.T., OCS (PRESIDENT)
(410) 219-5131
Entity
Organization
Contact information
Practice address
27993 CROSS CREEK DR, SALISBURY, MD 21801-2430
(410) 219-5131
(410) 219-5132
Mailing address
27993 CROSS CREEK DR, SALISBURY, MD 21801-2430
(410) 219-5131
(410) 219-5132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17674
MD
225100000X
Physical Therapist
Primary
2305205546
VA
225100000X
Physical Therapist
J1-0000966
DE
225X00000X
Occupational Therapist
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530
WORKMANS COMP
MD
01
—
1821045345
RAIL ROAD MEDICARE
MD
05
—
1821045345
—
DE
01
—
1942207568
RAIL ROAD MEDICARE
DE
01
—
311903
AMERIGROUP MEDICAID
MD
01
—
5705311
FIRST HEALTH / CCN
DE
01
—
5705311
FIRST HEALTH / CCN
MD
01
—
700290
ACN - UNITED HEALTH CARE
DE
01
—
700290
ACN - UNITED HEALTH CARE
MD
Enumeration date
12/18/2007
Last updated
08/15/2008
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