Active NPI
Sofia Diaz Martinez, ATL, LAT
- Athletic Trainer
- Troy, AL
National Provider Identifier
1013758333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2852
- Practice address
- 3230 Stadium Tower
Troy, AL 36082-0001 - Phone
- (334) 670-3720
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2852 | AL | Primary |
Addresses
Primary practice location
3230 Stadium Tower
Troy, AL 36082-0001
Mailing address
1000 Park St Apt 3
Troy, AL 36081-3102
Phone (858) 798-6862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2852 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy University | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Troy, AL
- NPI 1780055038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1013758333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PARK ST APT 3",
"city": "TROY",
"state": "AL",
"postal_code": "360813102",
"telephone_number": "858-798-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 STADIUM TOWER",
"city": "TROY",
"state": "AL",
"postal_code": "360820001",
"telephone_number": "334-670-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ MARTINEZ",
"first_name": "SOFIA",
"credential": "ATL, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-03",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.