DR. JACOB RYAN MARTY DO
NPI 1295419844
Student in an Organized Health Care Education/Training Program in Winter Garden, FL

Q: What is Jacob Marty's NPI number?

The NPI number for Jacob Marty is 1295419844. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Q: What is Jacob Marty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Marty was last updated on June 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2023PECOS Enrolled

2000 FOWLER GROVE BLVD, WINTER GARDEN, FL 34787(407) 614-0500 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jacob Ryan Marty Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB RYAN MARTY DO (NPI 1295419844) is an individual student in an organized health care education/training program in Winter Garden, Florida, licensed in Florida (9065) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295419844

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JACOB RYAN MARTYCredential: DO

Location Address2000 FOWLER GROVE BLVDWinter Garden, FL 34787-5050

Mailing Address2501 N Orange Ave, Suite 235, Box 38Orlando, FL 32804-4659

Phone(407) 614-0500

Sole ProprietorNo

Enumeration DateJune 14, 2023

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1295419844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · 9065

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2000 FOWLER GROVE BLVD, Winter Garden, FL 34787

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Secondary Practice Locations 3

Location 1601 E Rollins St Ste 400Orlando, FL 32803-1248 · Phone (407) 303-5600

Location 27727 Lake Underhill RdOrlando, FL 32822-8224 · Phone (407) 303-8110

Location 34633 Vineland RdOrlando, FL 32811-7339 · Phone (407) 727-1100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob Ryan Marty Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.