VAN MARTIN III


Address: 5865 Capo Island Rd, Saint Augustine, FL 32095-9624
Phone: 9043253315

VAN MARTIN III (NPI# 1881042927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881042927
Entity Type Individual
Full Name VAN MARTIN III
Practice Address 5865 Capo Island Rd
Saint Augustine
FL 32095-9624
Practice Telephone 9043253315
Mailing Telephone 9043253315
Enumeration Date 2016-05-31
Last Update Date 2016-05-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers VAN MARTIN

NPI Name Taxonomy Address Enumeration
1649442799 Van Eric Martin Counselor 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107-7277 2008-03-28

Office Location

Street Address 5865 CAPO ISLAND RD
City SAINT AUGUSTINE
State FL
Zip Code 32095-9624

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124299201 Dental Health Group PC Dentist 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 2008-03-18
1932259405 Thomas E Stakem Dentist 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 2007-01-10
1942390265 Antonia Fuller Registered Nurse 354 Paseo Reyes Drive, Saint Augustine, FL 32095 2006-10-15
1740223023 First Choice Phcy Svcs LLC Pharmacy 110 Cumberland Dr #305, St Augustine, FL 32095 2006-06-14
1174029201 Aba Connection, LLC Early Intervention Provider Agency 23 Sol Ct, St Augustine, FL 32095 2018-04-05
1457437584 Stanley A Cohen Psychiatry & Neurology 354 Paseo Reyes Drive, St Augustine, FL 32095 2006-10-31
1548576150 Vicki Glabb Counselor 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 2010-08-20
1245770742 Linda Gillis Nurse Practitioner 143 Portada Dr, St Augustine, FL 32095-1634 2017-03-02
1659821767 Margo Slovis Physical Therapist 244 Vale Dr, St Augustine, FL 32095-4832 2016-10-12
1851909360 Mammography Partners LLC Clinic/Center 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 2020-07-21
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346678349 Elizabeth Cardy Developmental Therapist 405 Cabernet Pl, Saint Augustine, FL 32084-2572 2013-10-29
1326476797 Stephanie M Dukes Developmental Therapist 5355 Soundview Ave, Saint Augustine, FL 32080-7238 2013-10-23
1306456769 Madeline Garcia Developmental Therapist 56 Water St, Saint Augustine, FL 32084-2887 2020-07-31
1750909982 Aimee Evans Developmental Therapist 56 Water St, Saint Augustine, FL 32084-2887 2020-07-14
1841569779 Next Step Therapy Services Developmental Therapist 365 Summercove Cir, Saint Augustine, FL 32086-5951 2011-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830595 Community Children's Therapy, Inc Developmental Therapist 12353 Natalies Cove Rd, Cooper City, FL 33330 2020-10-27
1437756327 Tabrisha Ruy Developmental Therapist 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 2020-10-05
1316554116 Carley Alexandra Scartz-nisbet Developmental Therapist 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 2020-09-25
1992319909 Kelly Todd Developmental Therapist 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 2020-09-07
1104436963 Cassandra Hert Developmental Therapist 13738 Alesbury Ct, Jacksonville, FL 32224-2236 2020-08-06
1750991188 Kimberley Nunez Developmental Therapist 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 2020-07-31
1821607441 Nakeshia Woody Developmental Therapist 3209 E North Bay St, Tampa, FL 33610-6927 2020-07-29
1851900922 Nathalia Brown Developmental Therapist 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 2020-07-24
1053929752 Jill Schnortz Developmental Therapist 484 Nw 232nd Ter, Newberry, FL 32669-2282 2020-07-20
1447868310 Carleen Korkin Developmental Therapist 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 2020-07-16
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Competitor

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City SAINT AUGUSTINE
Zip Code 32095

Improve Information

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Dataset Information

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.

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