Marissa Martinez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30819 Issued in AZ

Practice address

7205 E Southern Ave Ste 111
Mesa, AZ 85209-2791

Phone

(480) 832-9308

Fax

(480) 807-1782

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDM Physical Therapy LLCGroup PAC ID 8820242563, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• MDM Physical Therapy, LLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1730251133
  Medicare reassignment Care Compare group NPD
• Vitality Physical Therapy and Wellness, Inc

  • Physical Therapist
  • Gold Canyon, AZ
  • NPI 1316970437
  Medicare reassignment NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1093360737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE",
            "address_2": "STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092791",
            "telephone_number": "480-821-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092791",
            "telephone_number": "480-832-9308",
            "fax_number": "480-807-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Cordell Martinez, DO
• Jessica Jean Martinez
• Kayla Martinez
• Linsey Martinez, FNP-C
• Luisa Francisco Martinez
• Morgan Martinez
• Valery Martinez
• Kayleen Anin Martins
• Stephanie Nicole Martins, PA
• Candice Marie Martinson, M.S., CCC-SLP

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.