Lacy Martin
NPI 1356895148ActiveIndividual· Physical Therapist· Cody, WY
Physical Therapist in Cody, Wyoming, trained at Texas Tech University Health Science Center School of Medicine (class of 2016). Medicare paid $61,064 for services to 139 patients in 2024.
Overview
| NPI | 1356895148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 9, 2016 |
| Last updated in NPPES | Dec 5, 2022 |
| Certified by provider | Dec 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1885 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 139 |
|---|---|
| Services billed | 3,296 across 16 procedure codes |
| Paid by Medicare | $61,064 |
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Canyon Hand Therapy, P.C.Cody, WY · 10 clinicians
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All 28 physical therapists in Cody · All physical therapists in Wyoming