Healthcare Provider Details

I. General information

NPI: 1639739576
Provider Name (Legal Business Name): SARAH MARTIN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 N 15TH AVE STE 401
PHOENIX AZ
85015-3332
US

IV. Provider business mailing address

14287 N 87TH ST STE 220
SCOTTSDALE AZ
85260-3698
US

V. Phone/Fax

Practice location:
  • Phone: 602-285-0949
  • Fax: 602-285-0052
Mailing address:
  • Phone: 480-937-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number034059
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number12419A
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: