Individual ProviderKyle Anthony MartinPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address910 Frederick Rd, Catonsville, MD 21228-4516(410) 644-1880PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Anthony Martin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659702579Provider TypeIndividualFull NameMartin, Kyle AnthonyTitleMr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date12/2/2013Last Updated1/2/2024Contact InformationPractice LocationPractice Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Mailing LocationMailing Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense24822Maryland