Provider Demographics
NPI:1821420340
Name:ST. MARTIN, BRITTANY LEE (DPT, TPS, RYT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:ST. MARTIN
Suffix:
Gender:F
Credentials:DPT, TPS, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 COAKLEY RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4134
Mailing Address - Country:US
Mailing Address - Phone:401-301-9361
Mailing Address - Fax:
Practice Address - Street 1:42 COAKLEY RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4134
Practice Address - Country:US
Practice Address - Phone:401-301-9361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0094760225100000X
MEPT5925225100000X
NH3884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH4111OtherMEDICARE GP#
T400145097Medicare PIN
08Y024053NH01OtherANTHEM / BCBS
000000143030OtherWELL SENSE
08Y024053NH02OtherANTHEM / BCBS
08Y024053NH03OtherANTHEM / BCBS
08Y024053NH06OtherANTHEM / BCBS
NH4111OtherMEDICARE GP#
08Y024053NH05OtherANTHEM / BCBS
100833000OtherDEPT OF LABOR
47000985OtherCIGNA