IndividualActive
Kenneshia Martin
NPI 1154963759 · Physical Therapy Assistant · Riverview, FL
Provider details
- NPI number
- 1154963759
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PTA003385 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13135 Early Run Lane
Riverview, FL 33578
Phone: (813) 564-5468
Street-level locationGet directions
Mailing address
Po Box 3836
Brandon, FL 33509-3836
Additional practice locations (1)
- 2899 Five Forks Trickum RdLawrenceville, GA 30044-5803Phone: (770) 940-3196
Registry dates
- Enumerated
- 2019-10-15
- Last updated
- 2020-10-07
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.