DR. JUAN MICHELLE MARTIN DPT
NPI 1376737114
Physical Therapist - Orthopedic in Lawrenceville, GA

Active since September 05, 2007
480 CONGRESS PKWY, LAWRENCEVILLE, GA 30044(718) 916-1406 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Juan Michelle Martin Dpt NPPES

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

DR. JUAN MICHELLE MARTIN DPT (NPI 1376737114) is an individual orthopedic provider in Lawrenceville, Georgia, licensed in Georgia (009599) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1376737114
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JUAN MICHELLE MARTINCredential: DPT
Location Address480 CONGRESS PKWYLawrenceville, GA 30044-4579
Mailing Address480 Congress PkwyLawrenceville, GA 30044-4579 · (718) 916-1406
Sole ProprietorNo
Enumeration DateSeptember 5, 2007
Last NPPES UpdateMarch 17, 2016
NPI 1376737114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses Licensed in GA · 009599 Licensed in NY · 029661
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
480 CONGRESS PKWY, Lawrenceville, GA 30044

Other Names 1

Former Name (1)Dr. Juan Michelle Bovell Dpt

Other Identifiers 4

Other2854827NY · United Health (uhc)
Medicare PIN202I653405GA
Other712781NY · Mpn
OtherQ579A1NY · Bcbs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Martin's NPI number?

The NPI number for Juan Martin is 1376737114. It was assigned to this individual provider in the NPPES registry on September 5, 2007. The provider is also known as Dr. Juan Michelle Bovell Dpt.

Where is Juan Martin located?

Juan Martin practices at 480 Congress Pkwy, Lawrenceville, GA 30044. The listed phone number is (718) 916-1406.

What is Juan Martin's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Juan Martin was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.