Vivian Martindale, is a
Physical Therapist based in Walnut, Mississippi. Vivian Martindale is licensed to practice in Illinois (license number 8195) and her current practice location is
130a James Otis Smith Dr, Walnut, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 223-0064.
NPI number for Vivian Martindale is 1891611471 and her current mailing address is 2122 York Rd Ste 300, Oak Brook, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891611471.
Healthcare Provider's Profile
| Full Name | Vivian Martindale |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 130a James Otis Smith Dr, Walnut, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891611471
- Provider Enumeration Date: 06/26/2026
- Last Update Date: 06/26/2026
Medical Identifiers
Medical identifiers for Vivian Martindale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891611471 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 8195 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Martindale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Vivian Martindale, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Vivian Martindale, 130a James Otis Smith Dr, Walnut, MS 38683 Ph: (662) 223-0064 |
Reviews and Comments