Jennifer A Martin
Physical Therapist Physical Therapist - Orthopedic
1295 Westhaven Dr
Vail
, Colorado 81657-4395
Jennifer A Martin
Physical Therapist Physical Therapist - Orthopedic
1295 Westhaven Dr
Vail
, Colorado 81657-4395
(970) 476-7511
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Jennifer A Martin
- 570 Homestead Dr Apt 38
- Edwards, CO
- Zip : 81632-8162
- Fax : (970) 476-7511
- Phone : (612) 339-2041
Second Address
- Jennifer A Martin
- 1295 Westhaven Dr
- Vail, CO
- Zip : 81657-4395
- Phone : (970) 476-7510
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 5264 | MN |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 0004838 | CO |
National Provider Identifier
| NPI | 1023072188 |
|---|---|
| Provider Name | Jennifer A Martin |
| First Address | Edwards, CO 81632-8162 |
| Second Address | Vail, CO 81657-4395 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 13/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 060T1MA | BC INDIV PROV ID (01) | MN |
| 076649600 | (05) | MN |
| 6402269 | MEDICA INDIV PROV ID (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.