Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kyle Edwin Martinis, PT, DPT

Individual provider Physical Therapist · NPI 1104293950

Dr. Kyle Edwin Martinis, PT, DPT is a Physical Therapist in Private Practice in Norfolk, Massachusetts. Qualified in 2015, 11 years ago. Practices with Long Pond Physical Therapy Inc, a 3-clinician group and works from 2 locations. Licensed in Massachusetts and Texas.

Years since qualifying
11
Licensed in
MA, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

65 Holbrook St Ste 130
Norfolk, MA 02056-1849
Phone: (774) 565-0796
Fax: (774) 565-8346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 Republic Pkwy, Mesquite, TX 75150-6916 — (972) 698-1140

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 22262 (MA)
Physical Therapist Taxonomy 225100000X · Licence 1264012 (TX)

Record details

NPI number1104293950
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 27, 2015
Last updated in NPPESMarch 17, 2018
Mailing address237 Winthrop St, Suite 103, Rehoboth, MA 02769-2601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Long Pond Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Not indicated

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