MEDICARE: JUSTIN MARTIN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1333826	TX

General Provider Information

NPI Number	:	1114510245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN MARTIN DPT

Provider Business Mailing Address
First Line	:	809 S LAMAR BLVD APT 503
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-1577
Country	:	US
Telephone Number	:	512-765-4972
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 S LAMAR BLVD APT 503
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-1577
Country	:	US
Telephone Number	:	512-765-4972
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2021
Last Update Date	:	01/21/2026

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Directions to “ JUSTIN MARTIN DPT” Practice Location

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