Adolfo Martin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA26689 Issued in FL

Practice address

15271 NW 60TH Ave
Miami Lakes, FL 33014-2422

Phone

(305) 456-6700

Fax

(786) 870-5196

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Essential Therapy Services, Inc.

  • Multi-Specialty Clinic/Center
  • Miami Lakes, FL
  • NPI 1831334192
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1003428103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15271 NW 60TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142422",
            "telephone_number": "305-456-6700",
            "fax_number": "786-870-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15271 NW 60TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142422",
            "telephone_number": "305-456-6700",
            "fax_number": "786-870-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ADOLFO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M635-013-77-448-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Marquina, M.D., P.A.-C
• Marshal Supply Services Inc
• Ivett Aleida Martell, B.S, M.S
• Aymee Marti-Parra, APRN
• Martin N Glaser DMD PA
• Angelica Martin
• Blake Evan Martin, PA-C
• Diana Martin
• Maday Martin
• Lina Martinez Acosta, MSN, APRN, FNP-C

• Physical Therapy Assistant in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.