Lemuel Campomanes Martin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11399 Issued in CA

Practice address

1281 Craig Avenue
Lakeport, CA 95453

Phone

(707) 263-4564

Fax

(707) 263-4572

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lemuel C & Elmezen Martin

  dba Quail Run Physical Therapy

  • Physical Therapist
  • Lakeport, CA
  • NPI 1477614741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083622039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954531560",
            "telephone_number": "707-263-4564",
            "fax_number": "707-263-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 CRAIG AVENUE",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "95453",
            "telephone_number": "707-263-4564",
            "fax_number": "707-263-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LEMUEL",
        "middle_name": "CAMPOMANES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ273982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL PIN",
            "identifier": "PT11399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Lynn Maes, M.D.
• Pamela Balch Maes, N.P.
• Felecia Maldonado
• Adriana Marquez
• Elmezen Oliverio Martin, RDHAP
• Nicole R Martinez, REGISTERED NURSE
• Kacey Mather, LMFT
• Matthew McQuaid, DPM, Inc.
• Helen Kate McAllister, PHD
• Alexander Russell McGeoch, D.D.S.

• Physical Therapist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Physical Therapist in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.