BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC) – Physical Therapist, NPI 1841718871

BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC) is a healthcare provider. based in Bridgewater, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, LAT, ATC. They hold a License No. 2305214275 (VA). The NPI Number for BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC) is 1841718871

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC)
NPI
1841718871
Phone
(540) 828-8000
Address
402 E College St
Enumeration Date
30 August 2017
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4342008215
Graduation Year
2021 (5 years ago)
PAC ID
7416308382
Group Practice PAC ID
3375710619
Professional Enrollment ID
I20240105000227
Address ID
VA245025901LY103XXWAYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC)

  • 402 E College St

    Bridgewater, VA 228121511

    Phone: (540) 828-8000

    Type: Location

  • 2331 Franklin Rd SW

    Roanoke, VA 240141111

    Phone: (540) 266-4037

    Type: Location

  • 10970 ROCKY RD

    BENT MOUNTAIN, VA 240592164

    Phone: (540) 266-4037

    Type: Mailing

  • Carilion Clinic Outpatient Therapy, 2331, Franklin Road Southwest, Beechwood Gardens, Roanoke, Roanoke (city), Virginia, 24014, United States

    ROANOKE, VA 240141111

    Phone: (540) 266-4037

    Type: Location

  • 13307 BOOKER T WASHINGTON HWY

    HARDY, VA 241013945

    Phone: (540) 721-4199

    Type: Location

  • 245 STEEPLECHASE LN

    BOONES MILL, VA 24065

    Phone: (540) 266-4037

    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: 2024-01-05

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
I20240105000227IPhysical Therapist In Private PracticeVATBD

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 22812)

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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: 3375710619View full group profile
NameSpecialtyState
Interventional Pain Management, Physical Medicine And RehabilitationVA
Orthopedic SurgeryVA
Physician AssistantVA
Orthopedic SurgeryVA
Nurse PractitionerVA
Orthopedic SurgeryVA
N E U R O L O G YMA
Hand SurgeryVA
Orthopedic SurgeryFL
Family PracticeVA

Reviews

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Frequently asked questions

What NPI should I save for BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC)?
Save NPI 1841718871 if you need a stable reference for BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC).
Is BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC)'s NPI currently valid?
The extract we use shows BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC) as active.
Does BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC) list a primary specialty?
If you are matching referrals, note Physical Therapist for BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC). Clinical services aligned with this taxonomy classification.
Where does public data place BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC)?
The snapshot lists Bridgewater, Virginia for BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC); download NPPES for the complete set.
Is BROOKE ELLYN MARTIN (PT, DPT, LAT, ATC) a real provider?
This page reflects official NPPES data for NPI 1841718871. Always confirm identity and privileges with the practice and licensing boards.

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