JEREMY M MARTIN (NPI# 1881829240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881829240 |
| Entity Type | Individual |
| Full Name | JEREMY M MARTIN |
| Practice Address |
4767 Drane Field Rd Lakeland FL 33811-1220 |
| Practice Telephone | 8638165858 |
| Practice Fax Number | 8638165837 |
| Mailing Telephone | 8638165858 |
| Mailing Fax Number | 8638165837 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962996140 | Jeremy Scott Martin | Clinic/Center | 2481 N.e. Coachman Rd, Clearwater, FL 33765 | 2018-06-20 |
| 1326410143 | Jeremy Martin | Community/Behavioral Health | 114 Royal St., Natchitoches, LA 71457 | 2015-10-21 |
| 1104833508 | Jeremy Ward Martin | Chiropractor | 132 Hurricane Shoals Rd Ne, Suite B, Lawrenceville, GA 30045-4476 | 2006-08-01 |
| 1780145599 | Jeremy W Martin | Student in an Organized Health Care Education/Training Program | 1200 N State St, Los Angeles, CA 90033-1029 | 2019-03-26 |
| 1265998017 | Jeremy D Martin | Physical Therapist | 500 E Business Way, Cincinnati, OH 45241-2374 | 2019-02-18 |
| 1811463821 | Jeremy Bryce Martin | Counselor | 241 Wright St, Marquette, MI 49855-1955 | 2018-10-17 |
| 1912381328 | Jeremy King Martin | Counselor | 491 Main St, Athol, MA 01331-1846 | 2015-07-15 |
| 1245522895 | Jeremy G Martin | Nurse Anesthetist, Certified Registered | 3024 Stadium Blvd, Jonesboro, AR 72401-7415 | 2011-05-13 |
| 1699929950 | Jeremy Kyle Martin | Dentist | 100 Madrid Blvd, Ste 414, Punta Gorda, FL 33950-7968 | 2008-11-12 |
| 1669502555 | Jeremy Edward Martin | Driver | 128 Scenega, Valdez, AK 99686 | 2007-03-07 |
| Street Address |
4767 DRANE FIELD RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33811-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1356870703 | Jeanette Michelle Edmonds | Psychologist | 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 | 2017-06-08 |
| 1932353406 | Monique L Lisowski | Dietitian, Registered | 4231 South Pipkin Road, Lakeland, FL 33811 | 2008-11-11 |
| 1306987029 | Lifesavers Home Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 | 2007-02-08 |
| 1518010305 | Kirk Randall Smith | Nurse Practitioner | 1475 Airport Road, Lakeland, FL 33811 | 2007-01-18 |
| 1578568176 | Southeastern Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3615 Century Blvd, Unit #1, Lakeland, FL 33811 | 2005-06-20 |
| 1225279318 | Affordable Transport Inc. | Non-emergency Medical Transport (VAN) | 3706 Dmg Dr, Lakeland, FL 33811-1043 | 2009-03-18 |
| 1457747875 | Candace Borders | Physical Therapy Assistant | 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 | 2015-04-13 |
| 1962849729 | Angelica Monteverde | Counselor | 3121 Filly Ln, Lakeland, FL 33811-1080 | 2013-06-03 |
| Find all providers in zip 33811 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568670644 | Joan Miller | Physical Therapist | 3020 S Florida Ave, Abbey Business Park, Ste 321-b, Lakeland, FL 33803-4053 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538721907 | Revolution Sports and Performance LLC | Physical Therapist | 27774 Autumn Breeze Cir, Wesley Chapel, FL 33544-7839 | 2019-07-05 |
| 1790242105 | Ignacio Ray Barajas | Physical Therapist | 11723 Gulf Beach Hwy, Pensacola, FL 32507-9143 | 2019-02-22 |
| 1679041081 | Mauricio Elizondo | Physical Therapist | 201 Atp Tour Blvd, Ponte Vedra Beach, FL 32082-3211 | 2018-11-05 |
| 1194209205 | Jack Malafronte | Physical Therapist | 2221 S Dale Mabry Hwy, Tampa, FL 33629-6313 | 2018-09-25 |
| 1881109791 | Michael R Preciados | Physical Therapist | 2999 Ne 191st St Ste 230, Aventura, FL 33180-3115 | 2017-12-14 |
| 1467970277 | Naples Premier Physical Therapy Inc | Physical Therapist | 3940 Prospect Ave Ste 103, Naples, FL 34104-3745 | 2017-08-31 |
| 1134643356 | Thomas Mulligan | Physical Therapist | 401 Channelside Dr, Tampa, FL 33602-5400 | 2017-07-29 |
| 1962952333 | Jordan Clayborne | Physical Therapist | 4747 N Ocean Dr Ste 261, Lauderdale By The Sea, FL 33308-2956 | 2016-10-10 |
| 1043764483 | Tonny Vandehee | Physical Therapist | 3264 Pacific Dr, Naples, FL 34119-8672 | 2016-08-14 |
| 1861848517 | Physioworks of Miami | Physical Therapist | 3617 E Sandpiper Dr, #5, Boynton Beach, FL 33436-2463 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEREMY M MARTIN.
| 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.