Individual ProviderDonavin L MartinPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 E Broadway Ave, Bismarck, ND 58501(701) 530-7000PECOS EnrollmentBased on the most recent information from CMS, provider Donavin L 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 yesterday at 12:57 PM.Profile DetailsProvider ID1891972600Provider TypeIndividualFull NameMartin, Donavin LCredentialPTGenderMaleSole ProprietorNoEnumeration Date1/23/2008Last Updated1/23/2008Contact InformationPractice LocationPractice Address900 E Broadway Ave, Bismarck, ND 58501Phone(701) 530-7000Fax(701) 530-8842Mailing LocationMailing Address900 E Broadway Ave, P.O. Box 5510, Bismarck, ND 58506-5510Phone(701) 530-7000Fax(701) 530-8842Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense728North DakotaProvider IdentifiersIDDescriptionIssuerID728DescriptionOtherIssuerLICENSENorth Dakota