Organization
MARTIN PHYSICAL THERAPY, INC
Active
Other names
Martin Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN EDWARD MARTIN P.T., OCS (PRESIDENT)
(443) 234-5074
Entity
Organization
Contact information
Practice address
200 N WASHINGTON ST, SNOW HILL, MD 21863-1054
(443) 234-5074
(443) 234-5087
Mailing address
200 N WASHINGTON ST, SNOW HILL, MD 21863-1054
(443) 234-5074
(443) 234-5087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17674
MD
225100000X
Physical Therapist
J1-0000966
DE
2251E1200X
Ergonomics Physical Therapist
17674
MD
2251E1200X
Ergonomics Physical Therapist
J1-0000966
DE
2251X0800X
Orthopedic Physical Therapist
17674
MD
2251X0800X
Orthopedic Physical Therapist
Primary
J1-0000966
DE
261QP2000X
Physical Therapy Clinic/Center
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530
WORKMANS COMP
MD
01
—
311903
AMERIGROUP
MD
01
—
5705311
FIRST HEALTH/CCN
MD
01
—
700290
ACN - UNITED HEALTH
MD
01
—
DF1647
RAILROAD MEDICARE
DE
Enumeration date
05/29/2006
Last updated
04/19/2018
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