Provider Demographics
NPI:1346554508
Name:MARTIN, JAMES DANFORTH (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DANFORTH
Last Name:MARTIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3592 S ATHERTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7443
Mailing Address - Country:US
Mailing Address - Phone:480-840-6777
Mailing Address - Fax:
Practice Address - Street 1:3592 S ATHERTON BLVD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7443
Practice Address - Country:US
Practice Address - Phone:480-840-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ89932251X0800X
UT7678682-24012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic