JENNIFER A MARTIN (NPI# 1023072188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023072188 |
| Entity Type | Individual |
| Full Name | JENNIFER A MARTIN |
| Credential | DPT, OCS, FAAOMPT |
| Practice Address |
1295 Westhaven Dr Vail CO 81657-4395 |
| Mailing Address |
570 Homestead Dr Apt 38 Edwards CO 81632-8162 |
| Practice Telephone | 9704767510 |
| Mailing Telephone | 6123392041 |
| Mailing Fax Number | 9704767511 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 5264 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0004838 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 076649600 | 05 | |
| MN | BC INDIV PROV ID | 060T1MA | 01 |
| MN | MEDICA INDIV PROV ID | 6402269 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 825 Nicollet Mall, Suite 1935, Minneapolis, MN 554022606 | 6123392041 | 6123392042 |
| 570 Homestead Dr Apt 38, Edwards, CO 816328162 | 6127999192 | 9704767511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652082 | Jennifer Rose Martin | Registered Nurse | 12 Tompkins St Apt 2, Staten Island, NY 10304-2617 | 2020-09-01 |
| 1386105625 | Jennifer Urbaniak Martin | Health Educator | 12724 Gran Bay Pkwy W Ste 150, Jacksonville, FL 32258-9486 | 2019-03-28 |
| 1831660430 | Jennifer Asher Martin | Nurse Practitioner | 4920 E 6th St, Cheyenne, WY 82001-6930 | 2018-12-08 |
| 1497262208 | Jennifer Martin | Psychologist | 2031 Sheridan Rd, Highland Park, IL 60035-2401 | 2018-01-02 |
| 1861846842 | Jennifer Nicole Martin | Licensed Vocational Nurse | 8621 Forest Highlands Dr, Plano, TX 75024-7712 | 2016-04-15 |
| 1881064061 | Jennifer Louise Martin | Chiropractor | 73741 Highway 111, Palm Desert, CA 92260-4016 | 2015-10-01 |
| 1104214824 | Jennifer Dawn Martin | Counselor | 495 E Mound St Ste 110, Columbus, OH 43215-5596 | 2015-01-05 |
| 1104223890 | Jennifer Martin | Psychologist | 1624 Nw 6th St, Gainesville, FL 32609-3530 | 2014-11-25 |
| 1538560826 | Jennifer Martin | Counselor | 56 Ginger Dr, Lumberton, NJ 08048-4204 | 2014-09-05 |
| 1639581135 | Jennifer Claire Martin | Social Worker | 41 Selwyn Rd, Asheville, NC 28806-1418 | 2014-06-02 |
| Street Address |
1295 WESTHAVEN DR |
| City | VAIL |
| State | CO |
| Zip Code | 81657-4395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867227 | Vail Sports Medicine Physical Therapy PC | Physical Therapist | 1295 Westhaven Dr, Vail, CO 81657-4395 | 2005-08-03 |
| 1376162883 | Vail Physical Therapy, LLC | Physical Therapist | 1295 Westhaven Dr, Vail, CO 81657-4395 | 2020-04-14 |
| 1629228135 | Megan E Wacker | Physical Therapist | 1295 Westhaven Dr, Vail, CO 81657-4395 | 2008-09-22 |
| 1700898913 | Scott Mclain Wacker | Physical Therapist | 1295 Westhaven Dr, Vail, CO 81657-4395 | 2006-08-13 |
| 1669453379 | Merlon W Pusey | Physical Therapist | 1295 Westhaven Dr, Vail, CO 81657-4395 | 2005-11-09 |
| 1801897525 | David C Honda | Physical Therapist | 1295 Westhaven Dr, Vail, CO 81657-4395 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028365 | Vital Motion Physical Therapy, LLC | Physical Therapist | 9478 Ridgeline Blvd Unit D, Highlands Ranch, CO 80129-2593 | 2020-06-22 |
| 1912535477 | Eagle Valley Physical Therapy Pllc | Physical Therapist | 428 Steamboat Dr., Gypsum, CO 81637 | 2020-03-31 |
| 1982235891 | Rudy James Hernandez | Physical Therapist | 175 Inverness Dr W, Englewood, CO 80112-5065 | 2020-01-29 |
| 1457997470 | Dara Wellness and Physio LLC | Physical Therapist | 2970 W 29th St Unit 17, Greeley, CO 80631-8510 | 2019-11-25 |
| 1679114250 | Kacey Minear | Physical Therapist | 151 W Mineral Ave Ste 116a, Littleton, CO 80120-4510 | 2019-10-04 |
| 1447722137 | Trailhead Physical Therapy LLC | Physical Therapist | 9150 Commerce Center Cir Ste 200, Highlands Ranch, CO 80129-1562 | 2018-12-19 |
| 1730697822 | Eve A Monrad | Physical Therapist | 325 Interlocken Pkwy Ste A-100, Broomfield, CO 80021-3497 | 2018-01-11 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1972023604 | David Ernesto Canales | Physical Therapist | 2438 Research Pkwy Ste 235, Colorado Springs, CO 80920-1094 | 2017-06-23 |
| 1538606611 | Andrew Trevino | Physical Therapist | 9777 S Yosemite St Ste 130, Lone Tree, CO 80124-3115 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.