DR. PATRICIA MARY MARTIN (DPT) – Physical Therapist, NPI 1942479183

DR. PATRICIA MARY MARTIN (DPT) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT 21680 (CA). The NPI Number for DR. PATRICIA MARY MARTIN (DPT) is 1942479183

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA MARY MARTIN (DPT)
NPI
1942479183
Phone
(813) 280-0124
Address
12276 SAN JOSE BLVD BLDG 700
Enumeration Date
21 February 2008
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8132800124
Graduation Year
2022 (4 years ago)
PAC ID
1052562303
Group Practice PAC ID
1850820986
Professional Enrollment ID
I20250703001088
Address ID
FL322238628JA12276BLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for DR. PATRICIA MARY MARTIN (DPT)

  • 12276 SAN JOSE BLVD BLDG 700

    JACKSONVILLE, FL 322238628

    Phone: (813) 280-0124

    Fax: (904) 341-5249

    Type: Mailing

  • 308, Grass Valley Road, Agua Fria, San Bernardino County, California, 92317, United States

    PO BOX 58

    BLUE JAY, CA 923170058

    Phone: (909) 336-0041

    Type: Mailing

  • 9113 IVEY HILL CT

    ORLANDO, FL 328194066

    Phone: (734) 780-4517

    Fax: (904) 341-5249

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250703001088IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850820986View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCT
Nurse PractitionerIL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to DR. PATRICIA MARY MARTIN (DPT)?
The federal identifier for DR. PATRICIA MARY MARTIN (DPT) is NPI 1942479183.
Is DR. PATRICIA MARY MARTIN (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. PATRICIA MARY MARTIN (DPT) work in?
You can think of DR. PATRICIA MARY MARTIN (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PATRICIA MARY MARTIN (DPT)?
The snapshot lists Jacksonville, Florida for DR. PATRICIA MARY MARTIN (DPT); download NPPES for the complete set.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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