Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwen Marie Martin, LPTA

Individual provider Physical Therapy Assistant · NPI 1164783684

Gwen Marie Martin, LPTA is a Physical Therapy Assistant in Crestview, Florida. Licensed in Alabama and Florida. Registered with an NPI since 2012.

Licensed in
AL, FL
In the registry since
2012
Specialties on file
2

Practice location Address checks out

500 Hospital Dr
Crestview, FL 32539-7355
Phone: (850) 398-6428
Fax: (850) 398-6507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA21573 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA1486 (AL)

Record details

NPI number1164783684
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedMay 31, 2012
Last updated in NPPESMay 31, 2012

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