BRETT ELLIS MARTIN (NPI# 1407334998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407334998 |
| Entity Type | Individual |
| Full Name | BRETT ELLIS MARTIN |
| Credential | M.S. |
| Practice Address |
2150 S Country Club Dr Ste 20 Mesa AZ 85210-6879 |
| Mailing Address |
Po Box 50218 Phoenix AZ 85076-0218 |
| Practice Telephone | 4803984280 |
| Practice Fax Number | 4803984281 |
| Mailing Telephone | 4803984280 |
| Mailing Fax Number | 4803984281 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3011 S Lindsay Rd Ste 103, Gilbert, AZ 852954333 | 4803984280 | |
| 10631 S 51st St Ste 8, Phoenix, AZ 850445225 | 4803984280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831507631 | Brett Lewis Martin | Dentist | 21152 E Rittenhouse Rd Ste 106, Queen Creek, AZ 85142-4964 | 2014-07-24 |
| 1043508542 | Brett Thomas Martin | Chiropractor | 206 W Nolana Ave, Mcallen, TX 78504-2513 | 2011-07-18 |
| 1639409261 | Brett R Martin | Chiropractor | 1601 E Main St Ste 1b, St Charles, IL 60174-2387 | 2010-01-04 |
| 1124639869 | Brett Martin | Pharmacist | 2602 Florence Blvd, Florence, AL 35630-2864 | 2020-08-16 |
| 1285290627 | Brett Ryan Martin | Marriage & Family Therapist | 12520 High Bluff Dr Ste 100, San Diego, CA 92130-2061 | 2019-05-10 |
| 1952710279 | Brett Martin | Dentist | 2190 E Bidwell St, Folsom, CA 95630-6453 | 2014-08-12 |
| 1730445339 | Brett Samuel Martin | Radiology | 1601 Center St, Mobile, AL 36604 | 2012-04-09 |
| 1558510164 | Brett Martin | Counselor | 707 Sheridan Ave, Cody, WY 82414-3409 | 2008-09-18 |
| 1063555084 | Brett D Martin | Case Manager/Care Coordinator | 1658 Hwy 371 West, Prescott, AR 71857 | 2007-02-15 |
| 1588674188 | Brett William Martin | Family Medicine | 230 W Oak St, Fremont, MI 49412-1526 | 2006-08-08 |
| Street Address |
2150 S COUNTRY CLUB DR STE 20 |
| City | MESA |
| State | AZ |
| Zip Code | 85210-6879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396297099 | Piller Child Development | Community/Behavioral Health | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2016-10-28 |
| 1699376293 | Kayla Jane Lefevre | Specialist/Technologist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2020-11-02 |
| 1750999322 | Cassidy Savage | Occupational Therapist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2020-07-20 |
| 1477194850 | Sarahi Lerma | Occupational Therapist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2019-10-07 |
| 1447806864 | Nicole Briana Williams | Occupational Therapist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2019-08-12 |
| 1417519745 | Samantha Kari Hageman | Occupational Therapist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2019-07-08 |
| 1740840263 | Summer Eckert | Occupational Therapy Assistant | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2019-06-17 |
| 1881252054 | Hailey Glenn Allen | Speech-Language Pathologist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2019-06-03 |
| 1730648205 | Karlee Steward | Occupational Therapist | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2019-03-14 |
| 1639648942 | Nicholas Alan Gronhoy | Occupational Therapy Assistant | 2150 S Country Club Dr Ste 20, Mesa, AZ 85210-6879 | 2018-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829880 | Micaela Nitzel | Speech-Language Pathologist | 545 N Horne, Mesa, AZ 85203-7124 | 2020-07-28 |
| 1376152199 | Charlotte Torma | Speech-Language Pathologist | 630 N Hunt Dr, Mesa, AZ 85203-6533 | 2020-07-28 |
| 1568071397 | Ashton Belew | Speech-Language Pathologist | 930 S Sirrine, Mesa, AZ 85210-3736 | 2020-07-28 |
| 1023627866 | Rachel Marie Ladzinski | Speech-Language Pathologist | 202 N Sycamore, Mesa, AZ 85201-6150 | 2020-07-28 |
| 1881203511 | Taylor Ann Templeton | Speech-Language Pathologist | 3220 E Pueblo Ave, Mesa, AZ 85204-4028 | 2020-07-28 |
| 1639788490 | Jessica Tsay | Speech-Language Pathologist | 9410 E Mckellips Rd, Mesa, AZ 85207-2631 | 2020-07-28 |
| 1487205795 | Haley Mulherin | Speech-Language Pathologist | 463 S Alma School Rd, Mesa, AZ 85210-1014 | 2019-09-27 |
| 1134778384 | Bailey Farnsworth | Speech-Language Pathologist | 2325 E Adobe St, Mesa, AZ 85213-6713 | 2019-09-10 |
| 1821658956 | Diane Marie Senffner | Speech-Language Pathologist | 4133 N Boulder Cyn, Mesa, AZ 85207-0970 | 2019-06-20 |
| 1790267599 | Elisabeth Rieks | Speech-Language Pathologist | 945 W Rio Salado Pkwy, Mesa, AZ 85201-3902 | 2018-08-29 |
| Find all providers in MESA | ||||
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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.