THOMAS MICHAEL MARTIN RPT NPI 1497759450

NPI Information

NPI: 1497759450
Provider Name: THOMAS MICHAEL MARTIN, RPT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
39 WINDSOR DR
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-3137
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Thomas Michael Martin, RPT is a specialist in Bridgeport, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Thomas Michael Martin, RPT NPI is 1497759450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39 WINDSOR DR
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-3137
Fax: (304) 842-3138

The enumeration date for this NPI number is 6/8/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		000437	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33664	OTHER	WEST VIRGINIA	HEALTH ASSURANCE
2	1382862	OTHER	WEST VIRGINIA	UMWA
3	01071873100	OTHER	WEST VIRGINIA	WORKERS' COMPENSATION
4	WV51916B	OTHER	WEST VIRGINIA	HEALTH PLAN
5	7301125000	MEDICAID	WEST VIRGINIA
6	5235074	OTHER	WEST VIRGINIA	AETNA
7	398792	OTHER	WEST VIRGINIA	OPTIMUM CHOICE
8	MA0546715	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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