| Doctor Name: | MATTHEW GORDON MARTIN |
| NPI Number: | 1942602230 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT,DPT |
| License Number: | PT010188 |
| Business Practice Address: | 8400 Holcolm Bridge Road Suite 480 Alpharetta, GA - 30022 |
| Business Phone Number: | 7706405470 |
| Business Fax Number: | 7706405471 |
| Mailing Address: | 1163 Johnson Ferry Rd, Suite 100 MARIETTA |
| State: | GA |
| Postal Code: | 300682764 |
| Phone Number: | 7703210155 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2014 |
| NPI Last Update Date: | 09/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT010188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |