Mr. Kelly H Martin, DPT, ATC

Individual provider Athletic Trainer · NPI 1164782041

Mr. Kelly H Martin, DPT, ATC is a Physical Therapist in Private Practice in McComb, Mississippi. Qualified in 2013, 13 years ago. Practices with Fortinberry Physical Therapy LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying: 13
Licensed in: MS
In the registry since: 2012
Specialties on file: 2

What do these letters mean?

DPT — Doctor of Physical Therapy: The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.

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Practice location Address checks out

1301 A Harrison Ave Professional Rehab Associates
McComb, MS 39648
Phone: (601) 250-5455
Fax: (601) 250-5453

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

Specialties & licences

Physical Therapist (primary)	Taxonomy 225100000X · Licence 5264 (MS)
Athletic Trainer	Taxonomy 2255A2300X · Licence AT0461 (MS)

Record details

NPI number	1164782041
Entity type	Individual (Type 1)
Gender	Male
Credentials	DPT , ATC
Sole proprietor	No
NPI enumerated	May 24, 2012
Last updated in NPPES	July 21, 2014

Medicare enrollment

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

Medicare specialty	PHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2013 (13 years in practice)
Group practice	Fortinberry Physical Therapy Llc — 7 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount