Healthcare Provider Details

I. General information

NPI: 1730036955
Provider Name (Legal Business Name): ABIGAIL JIN MARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14601 E JEWELL AVE
AURORA CO
80012-5762
US

IV. Provider business mailing address

15751 E 1ST AVE
AURORA CO
80011-9023
US

V. Phone/Fax

Practice location:
  • Phone: 303-751-8862
  • Fax:
Mailing address:
  • Phone: 303-340-0510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: