MICHAEL GLEN MARTIN (NPI# 1316971559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316971559 |
| Entity Type | Individual |
| Full Name | MICHAEL GLEN MARTIN |
| Credential | MSPT |
| Practice Address |
222 E Main St 105 Smithtown NY 11787-2871 |
| Mailing Address |
8 Villa Ln Smithtown NY 11787-2331 |
| Practice Telephone | 6317245788 |
| Mailing Telephone | 6316569155 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 020848 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CAQH | 11348666 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518927 | Michael Martin | Technician | 902 Woodlawn Ave, Beckley, WV 25801-6430 | 2020-11-06 |
| 1134779721 | Michael C Martin | Counselor | 28 Catherine Ave, Saddle Brook, NJ 07663-4806 | 2019-09-16 |
| 1043865025 | Michael Andrew Martin | Hearing Instrument Specialist | 1692 Stonegate Dr, Greenwood, IN 46142-5013 | 2019-08-06 |
| 1376037416 | Michael Timothy Martin | Social Worker | 1816 Front St, Durham, NC 27705-2582 | 2018-06-21 |
| 1073006714 | Michael Martin Jr. | Counselor | 125 E Park Ave, Haddon Twp, NJ 08107-1034 | 2018-06-07 |
| 1811442783 | Michael Martin | Physical Therapist | 888 White Plains Rd Fl 2, 209, Trumbull, CT 06611-4552 | 2016-08-22 |
| 1710378112 | Michael Martin | Psychologist | 26005 E 107th St S, Broken Arrow, OK 74014-3944 | 2015-02-07 |
| 1184064032 | Michael Martin II | Behavior Technician | 1915 Aerotech Dr Ste 190, Colorado Springs, CO 80916-4213 | 2013-06-25 |
| 1912268384 | Michael Jack Martin | Marriage & Family Therapist | 358 Sea Ridge Rd Apt 1, Aptos, CA 95003-4356 | 2012-06-01 |
| 1386920858 | Michael E Martin | Chiropractor | 13060 Marlette Dr, La Mirada, CA 90638-1933 | 2011-10-28 |
| Street Address |
222 E MAIN ST 105 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447779186 | Leanna Rose Jenkins | Speech-Language Pathologist | 222 E Main St, Smithtown, NY 11787-2871 | 2017-09-13 |
| 1578847695 | Ashley King Curtis | Nurse Practitioner | 222 E Main St, Suite 111, Smithtown, NY 11787-2871 | 2011-10-07 |
| 1912163346 | Mathew M. Chacko Physician PC | Psychiatry & Neurology | 222 E Main St, Suite 101, Smithtown, NY 11787-2871 | 2008-08-05 |
| 1740498427 | Barton L. Schneyer M.d. P.l.l.c. | Internal Medicine | 222 E Main St, Ste 200, Smithtown, NY 11787-2871 | 2007-05-18 |
| 1104944032 | Dermedx Dermatology PC | Specialist | 222 E Main St, Suite 228, Smithtown, NY 11787-2871 | 2007-03-27 |
| 1285774208 | Stephen Honor | Specialist | 222 E Main St, Suite 215, Smithtown, NY 11787-2871 | 2007-02-07 |
| 1871671909 | Seymour Alter Md | Internal Medicine | 222 E Main St, Suite 109, Smithtown, NY 11787-2871 | 2006-11-02 |
| 1740378520 | Michael Herships | Psychologist | 222 E Main St, Suite 210, Smithtown, NY 11787-2871 | 2006-10-10 |
| 1407956907 | Mathew Meloottu Chacko | Psychiatry & Neurology | 222 E Main St, Siute 101, Smithtown, NY 11787-2871 | 2006-09-24 |
| 1487761524 | Ronald Braun | Dentist | 222 E Main St, Suite 316, Smithtown, NY 11787-2871 | 2006-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518453174 | Lisa Ann Fogarty | Physical Therapist | 117 Terry Rd Ste D, Smithtown, NY 11787-5031 | 2018-07-06 |
| 1811430788 | Matt Esrick | Physical Therapist | 317 E Main St Ste 7, Smithtown, NY 11787-2818 | 2016-11-28 |
| 1447706874 | Jaclyn Calabrese | Physical Therapist | 20 Pantzer St, Smithtown, NY 11787-1916 | 2016-08-26 |
| 1831561471 | Katrina M Agtuca | Physical Therapist | 7 Grandview Ln, Smithtown, NY 11787-4231 | 2015-10-22 |
| 1396120788 | Ronkonkoma Physical Therapy PC | Physical Therapist | 1041 W Jericho Tpke, Suite G, Smithtown, NY 11787-3225 | 2015-07-27 |
| 1669879409 | Carin Jean Blackstone | Physical Therapist | 2 Maureen Dr, Smithtown, NY 11788-2703 | 2014-11-21 |
| 1669897229 | Professional Orthopedic and Sports Physical Therapy PC | Physical Therapist | 309 E Middle Country Rd, Smithtown, NY 11787-2844 | 2014-02-19 |
| 1013203975 | Gold Coast Physical Therapists & Therapy Assistants | Physical Therapist | 309 Middle Country Road, Suite 202, Smithtown, NY 11787 | 2011-06-20 |
| 1689983561 | Joanne Bernabeo | Physical Therapist | 16 Washington Ave, Smithtown, NY 11787-5525 | 2010-09-27 |
| 1649599606 | Barbara Katarzyna Wojaczek | Physical Therapist | 100 Smithtown Blvd, Smithtown, NY 11787-5115 | 2010-05-28 |
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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.