KATHRYN REID MARTIN DPT
NPI 1750996559
Physical Therapist - Sports in Boulder, CO

Q: What is Kathryn Martin's NPI number?

The NPI number for Kathryn Martin is 1750996559. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Q: What is Kathryn Martin's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Martin was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 09, 2020Accepts Medicare Assignment

2150 STADIUM DRIVE, BOULDER, CO 80309(303) 315-9900 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2022, Sep 9, 2020 (2 updates tracked since 2020).

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About Kathryn Reid Martin Dpt NPPES

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

KATHRYN REID MARTIN DPT (NPI 1750996559) is an individual sports provider in Boulder, Colorado, licensed in Ohio (013905) and active in the NPI registry since September 2020. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1750996559

Entity TypeIndividualFemale

Primary Taxonomy2251S0007X

Provider Legal NameKATHRYN REID MARTINCredential: DPT

Location Address2150 STADIUM DRIVEBoulder, CO 80309-0001

Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 315-9900 · Fax (303) 315-9902

Phone(303) 315-9900

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 9, 2020

Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1750996559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in OH · 013905

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

2150 STADIUM DRIVE, Boulder, CO 80309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathryn Reid Martin Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436578895

PECOS Enrollment IDI20201005000242

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boulder Community Health

Same address

Physical Therapy

2150 STADIUM DRIVE
Boulder, CO 80309

Reassigned Medicare billing, Colorado enrollment
283 clinicians in this Medicare group

NPI 1174179915 (303) 315-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

231 services15 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

95 services17 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW WAGNER P.T.

Physical Therapist