MS. CAROLYN MARTIN P.T.
NPI 1871564906
Physical Therapist in South Miami, FL

NPI Status: Active since January 27, 2006

Contact Information

5975 SUNSET DR
SUITE 405
SOUTH MIAMI, FL
ZIP 33143
Phone: (305) 661-8040
Fax: (305) 661-8891

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  • Individual
  • Female
  • Years of Experience 26
  • Physical Therapist
  • Accepts Insurance
  • May Accept Medicare Approved Payment

About CAROLYN MARTIN

This page provides the complete NPI Profile along with additional information for Carolyn Martin, a provider established in South Miami, Florida with a medical specialization in Physical Therapist and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1871564906 assigned on January 2006. The practitioner's primary taxonomy code is 225100000X with license number PT19325 (FL). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1871564906
Provider Name
MS. CAROLYN MARTIN P.T.
Gender
Female
Entity Type
Individual
Location Address
5975 SUNSET DR SUITE 405 SOUTH MIAMI, FL 33143
Location Phone
(305) 661-8040
Location Fax
(305) 661-8891
Mailing Address
5975 SUNSET DR SUITE 405 SOUTH MIAMI, FL 33143
Mailing Phone
(305) 661-8040
Mailing Fax
(305) 661-8891
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
01-27-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT19325
License State
FL
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Access - HMO
  • Molina Silver Access Plus with Adult Dental and Vision - HMO
  • Molina Silver Access Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K5614MEDICARE ID-TYPE UNSPECIFIED (04)FL 

Medicare Participation & PECOS Enrollment Status

Carolyn Martin is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 4880597137

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040202000705

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Application of ultrasound, each 15 minutes

Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.

This service was performed 64 times for 15 patients

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care

Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.

This service was performed 212 times for 26 patients

Evaluation for physical therapy, typically 30 minutes

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

This service was performed 44 times for 39 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 502 times for 49 patients

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

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.

This service was performed 990 times for 52 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 565 times for 48 patients

Therapy procedure using manual technique, each 15 minutes

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.

This service was performed 306 times for 39 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871564906, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 0 + 6 + 8 + 9 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1871564906.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
5975 SUNSET DR, SUITE 804
SOUTH MIAMI, FL 33143
Psychologist (Clinical)
5975 SUNSET DR, SUITE 803
SOUTH MIAMI, FL 33143
Psychiatry & Neurology (Neurology)
5975 SUNSET DR, SUITE 501
SOUTH MIAMI, FL 33143
Psychologist (Clinical)
5975 SUNSET DR, SUITE 803
MIAMI, FL 33143
Psychologist (Clinical)
5975 SUNSET DR, SUITE 401
SOUTH MIAMI, FL 33143
Psychologist (Clinical)
5975 SUNSET DR, SUITE 401
SOUTH MIAMI, FL 33143
Pain Medicine (Interventional Pain Medicine)
5975 SUNSET DR, SUITE 804
SOUTH MIAMI, FL 33143
Occupational Therapist
5975 SUNSET DR, SUITE 100 CHILD DEVELOPMENT CENTER
SOUTH MIAMI, FL 33143
Occupational Therapist
5975 SUNSET DR, SUITE 100
SOUTH MIAMI, FL 33143
Speech-Language Pathologist
5975 SUNSET DR, SUITE 100 CHILD DEVELOPMENT CENTER
SOUTH MIAMI, FL 33143
Speech-Language Pathologist
5975 SUNSET DR, SUITE 100
SOUTH MIAMI, FL 33143
Specialist
5975 SUNSET DR, SUITE 802
SOUTH MIAMI, FL 33143
Nurse Practitioner (Family)
5975 SUNSET DR, SUITE 402
SOUTH MIAMI, FL 33143
Dentist (General Practice)
5975 SUNSET DR, SUITE 404
SOUTH MIAMI, FL 33143
Community/Behavioral Health
5975 SUNSET DR, SUITE 704
SOUTH MIAMI, FL 33143
Nurse Practitioner (Adult Health)
5975 SUNSET DR, SUITE 103
SOUTH MIAMI, FL 33143
Physical Therapist (Pediatrics)
5975 SUNSET DR, SUITE 100
SOUTH MIAMI, FL 33143
Clinic/Center (Ambulatory Surgical)
5975 SUNSET DR, SUITE 804
SOUTH MIAMI, FL 33143
Physical Therapist (Sports)
5975 SUNSET DR, SUITE 405
SOUTH MIAMI, FL 33143
Physical Therapist
5975 SUNSET DR, 405
SOUTH MIAMI, FL 33143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871564906, enumerated as an "individual" on January 27, 2006.

The provider is located at 5975 SUNSET DR SUITE 405 SOUTH MIAMI, FL 33143 and the phone number is (305) 661-8040.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.