Organization
MARTIN PHYSICAL THERAPY, INC
Active
Other names
Martin Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN EDWARD MARTIN PT (PRESIDENT)
(443) 234-5074
Entity
Organization
Contact information
Practice address
200 N WASHINGTON ST, SNOW HILL, MD 21863
(443) 234-5074
(866) 860-6983
Mailing address
200 N WASHINGTON ST, SNOW HILL, MD 21863-1054
(443) 234-5074
(866) 860-6983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
DE
225100000X
Physical Therapist
Primary
—
MD
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530
WORKMANS COMPENSATION
MD
05
—
1821045345
—
DE
01
—
311903
AMERIGROUP
MD
01
—
4873
CAREFIRST BLUE CROSS BLUE SHIELD
MD
01
—
5705311
FIRST HEALTH / CCN
DE
01
—
700290
UNITED HEALTH CARE
DE
01
—
DF1647
RAIL ROAD MEDICARE
DE
Enumeration date
06/29/2005
Last updated
07/08/2018
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