Active NPI
Martha Ann Paulson, P.T.
- Physical Therapist
- Pleasant Hill, CA
National Provider Identifier
1063443307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 5555
- Practice address
- 2969 Putnam Blvd
Pleasant Hill, CA 94523-4649 - Phone
- (925) 935-5527
- Fax
- (925) 935-4772
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 5555 | CA | Primary |
Addresses
Primary practice location
2969 Putnam Blvd
Pleasant Hill, CA 94523-4649
Mailing address
2969 Putnam Blvd
Pleasant Hill, CA 94523-4649
Phone (925) 935-5527
Other names 1
- Ms. Marti Paulson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 5555 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063443307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2969 PUTNAM BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234649",
"telephone_number": "925-935-5527",
"fax_number": "925-935-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2969 PUTNAM BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234649",
"telephone_number": "925-935-5527",
"fax_number": "925-935-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "MARTHA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 5555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARTI",
"last_name": "PAULSON",
"prefix": "MS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.