Jason Martinez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01599800 Issued in NJ

Practice address

615 Main Ave
Second Floor
Passaic, NJ 07055-4920

Phone

(973) 473-5600

NPI assigned

Jun 9, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Staff Physical Therapy PC

  • Occupational Therapist
  • Nutley, NJ
  • NPI 1770116527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1003297672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE",
            "address_2": "#345",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121453",
            "telephone_number": "973-928-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN AVE",
            "address_2": "SECOND FLOOR",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554920",
            "telephone_number": "973-473-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01599800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Manela, OTR/L
• Aryeh Mann, DPT
• Lindsay Mantin, LCSW
• Charlotte March, LCSW
• Jeannine Marchione, LCSW
• Alexandra Marulanda
• Mastery Curriculum Vitae
• Tanvi Mathew, LPC
• Crystal Dawn Mathews, LCSW
• Marc D Matturro, D.C.

• Physical Therapist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.