DR. KYLE EDWIN MARTINIS (PT, DPT) – Physical Therapist, NPI 1104293950

DR. KYLE EDWIN MARTINIS (PT, DPT) is a healthcare provider. based in Norfolk, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1264012 (TX). The NPI Number for DR. KYLE EDWIN MARTINIS (PT, DPT) is 1104293950

Main info

Male
Sole Proprietor
11 Years Of Experience
Name
DR. KYLE EDWIN MARTINIS (PT, DPT)
NPI
1104293950
Phone
(774) 565-0796
Address
65 HOLBROOK ST STE 130
Enumeration Date
27 August 2015
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087466922
Graduation Year
2015 (11 years ago)
PAC ID
7012207541
Group Practice PAC ID
6709873474
Professional Enrollment ID
I20160610001924
Address ID
MA023602642PL110XXRDXX408
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for DR. KYLE EDWIN MARTINIS (PT, DPT)

  • 65 HOLBROOK ST STE 130

    NORFOLK, MA 020561849

    Phone: (774) 565-0796

    Fax: (774) 565-8346

    Type: Location

  • 1650 Republic Pkwy

    Suite 103

    Mesquite, TX 751506916

    Phone: (972) 698-1140

    Fax: (972) 681-8753

    Type: Location

  • 237 WINTHROP ST

    SUITE 103

    REHOBOTH, MA 027692601

    Phone: (774) 565-0796

    Fax: (774) 565-8346

    Type: Mailing

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: 2016-06-10

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
I20160610001924IPhysical Therapist In Private PracticeMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes88155$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43855$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes31145$0
97161Evaluation for physical therapy, typically 20 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 02056)

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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: 6709873474View full group profile
NameSpecialtyState
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KYLE EDWIN MARTINIS (PT, DPT)?
NPI 1104293950 is assigned to DR. KYLE EDWIN MARTINIS (PT, DPT) under the national enumeration system.
Is DR. KYLE EDWIN MARTINIS (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KYLE EDWIN MARTINIS (PT, DPT)?
The page reflects Physical Therapist for DR. KYLE EDWIN MARTINIS (PT, DPT). Clinical services aligned with this taxonomy classification.
Does DR. KYLE EDWIN MARTINIS (PT, DPT) practice in Massachusetts?
You will see Norfolk, Massachusetts on file for DR. KYLE EDWIN MARTINIS (PT, DPT) alongside any extra practice locations.
What if Norfolk, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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