KATHRYN REID MARTIN (NPI# 1750996559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750996559 |
| Entity Type | Individual |
| Full Name | KATHRYN REID MARTIN |
| Credential | DPT |
| Practice Address |
2150 Stadium Drive Boulder CO 80309-0001 |
| Mailing Address |
2176 Shrewsbury Rd Columbus OH 43221-1260 |
| Practice Telephone | 3033159900 |
| Mailing Telephone | 6154293775 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
013905 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407788 | Kathryn Martin | Occupational Therapist | 769 N 27th St, Philadelphia, PA 19130-2412 | 2020-08-13 |
| 1649744244 | Kathryn Elizabeth Martin | Registered Nurse | 3300 W Sunset Ave, Springdale, AR 72762-4950 | 2019-01-16 |
| 1922519057 | Kathryn E Martin | Counselor | 2206 Branch Rd, Champaign, IL 61821-6257 | 2017-10-16 |
| 1174997944 | Kathryn Martin | Speech-Language Pathologist | 625 Wham Dr Rm 141, Carbondale, IL 62901-4313 | 2015-11-17 |
| 1982073169 | Kathryn Martin | Physician Assistant | 640 Blossom Hill Rd Ste A, Los Gatos, CA 95032-4564 | 2015-09-17 |
| 1164802005 | Kathryn Farley Martin | Pharmacist | 3313 Essex Dr, Suite 200, Richardson, TX 75082 | 2015-06-05 |
| 1932522992 | Kathryn Martin | Specialist/Technologist | 3545 Carver School Rd, Winston Salem, NC 27105-4033 | 2014-01-28 |
| 1417167297 | Kathryn Ann Martin | Licensed Vocational Nurse | 400 Mission Ranch Blvd Apt 158, Chico, CA 95926-5136 | 2007-05-23 |
| 1760531271 | Kathryn Louise Martin | Counselor | 827 W Front St, Traverse City, MI 49684-2465 | 2007-01-10 |
| 1003923723 | Kathryn M. Martin | Dietetic Technician, Registered | 92 Geneva St, Bath, NY 14810-9503 | 2006-08-25 |
| Street Address |
2150 STADIUM DRIVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80309-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265496194 | Kimberly R Detwiler | Specialist/Technologist | 2150 Stadium Drive, Boulder, CO 80309-7059 | 2006-04-17 |
| 1447897335 | Boulder Community Health | Clinical Medical Laboratory | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-12-10 |
| 1174179915 | Boulder Community Health | Clinic/Center | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-08-16 |
| 1871058545 | Connor Joseph Speck | Specialist/Technologist | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-02-06 |
| 1114435252 | Inigo San-millan | Rehabilitation Practitioner | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2018-01-10 |
| 1043413859 | Matthew Wagner | Physical Therapist | 2150 Stadium Drive, Boulder, CO 80309-1361 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
| Find all providers in zip 80309 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073757035 | Mark Plaatjes | Physical Therapist | 2775 Pearl St Ste 201, Boulder, CO 80302-3811 | 2009-04-21 |
| 1649764101 | Candace Cox | Physical Therapist | 3550 Frontier Ave Ste D, Boulder, CO 80301-2430 | 2018-06-19 |
| 1669880837 | Pawel Bronkowski | Physical Therapist | 2150 Stadium Dr, Boulder, CO 80309 | 2014-07-31 |
| 1184964645 | Brian P Briggs | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2013-02-21 |
| 1407027907 | Russell Overy | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-12 |
| 1043481542 | Catherine A Fraser | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-12 |
| 1942470679 | Larry Meyer | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1093985673 | Paul Birchard | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1487824066 | Toni Geer | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| 1568632149 | Jeffrey A. Fleming | Physical Therapist | 311 Mapleton Ave, Boulder, CO 80304-3979 | 2008-03-10 |
| Find all providers in BOULDER | ||||
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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.