Account Bulk check

Jacob Lee Martin, MPT

Physical Therapist in Georgetown, TX. Individual provider (NPI-1).

NPI number1114032018
StatusActive
Last updated in NPPESMar 19, 2026

Details

NPI
1114032018
Entity type
Individual (NPI-1)
Name
Mr. Jacob Lee Martin
Credential
MPT
Sex
Male
Sole proprietor
No
Enumeration date
Aug 20, 2006
Certification date
Mar 19, 2026
Last updated
Mar 19, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1161218TXYes

Practice location

3415 Williams Dr Ste 145
Georgetown, TX 78628-2886

Phone 512-887-4544 · Fax 512-887-4542

Mailing address

Po Box 932184
Atlanta, GA 31193-2184

Phone 904-895-5518 · Fax 904-895-5518

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Georgetown, TX

All 96 Physical Therapist providers in Georgetown · All 2,238 providers in Georgetown

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check