Individual provider Active NPI

Jose Martinez

  • Physical Therapy Assistant
  • Houston, TX
National Provider Identifier
1073283636
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2155133 Issued in TX
Practice address
8570 Katy Fwy Ste 116
Houston, TX 77024-1865
Phone
(832) 831-4188
NPI assigned
Sep 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2155133 TX Primary

Addresses

Primary practice location

8570 Katy Fwy Ste 116
Houston, TX 77024-1865

Mailing address

2115 Steamboat Run
Sugar Land, TX 77478-4321

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

LicenseStateTypeSpecialty
2155133TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revolve Physical Therapy LP Physical Therapy Assistant CurrentSince Jul 24, 2022 Accepting new patients
PTW Illum CurrentSince Sep 23, 2021 Accepting new patients

Locations

8570 Katy Fwy
Ste 116
Houston, TX 77024
Phone (832) 605-4494

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1073283636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 STEAMBOAT RUN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 KATY FWY STE 116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241865",
            "telephone_number": "832-831-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2155133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.