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

Ryan Martin

Individual provider Physical Therapist · NPI 1902155344

Ryan Martin is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Hawaii.

Years since qualifying
14
Licensed in
AZ, HI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

8410 W Thomas Rd Ste 136
Phoenix, AZ 85037-3374
Phone: (623) 247-4478
Fax: (623) 247-7839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 E McKellips Rd Ste 111, Mesa, AZ 85203-2525 — (480) 779-4672

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10665 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 3537 (HI)

Record details

NPI number1902155344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2012
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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