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

Mr. Corey Andre Martin Sr., PTA

Individual provider Physical Therapy Assistant · NPI 1366125072

Mr. Corey Andre Martin Sr., PTA is a Physical Therapy Assistant in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1240 Floy Farr Pkwy Ste 404
Fayetteville, GA 30214
Phone: (470) 670-0485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA005116 (GA)

Record details

NPI number1366125072
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 8, 2023

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