Individual provider Active NPI

Martina Gotter, P.T. , D.SC.

  • Physical Therapist
  • Palm Desert, CA
National Provider Identifier
1104837301
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 22781 Issued in CA
Practice address
73221 Highway 111
Ste a
Palm Desert, CA 92260-3907
Phone
(760) 773-2179
Fax
(760) 773-2810
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 22781 CA Primary

Addresses

Primary practice location

73221 Highway 111
Ste a
Palm Desert, CA 92260-3907

Mailing address

77180 California Dr
Palm Desert, CA 92211-7870
Phone (408) 596-0897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061027000259 CA Practitioner - Physical Therapist in Private Practice 6204833627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On the Move RehabGroup PAC ID 6709195316, 28 clinicians

Practice addresses (Care Compare)

69472 Serenity Rd
Cathedral City, CA 92234-7921
Phone (760) 409-6383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 22781CAMDPhysical Therapist
22781CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
On the Move Rehab Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist PastSince Aug 19, 2019 Accepting new patients
All Star Physical Therapy Physical Therapist PastSince Jan 16, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1104837301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77180 CALIFORNIA DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117870",
            "telephone_number": "408-596-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73221 HIGHWAY 111",
            "address_2": "STE A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603907",
            "telephone_number": "760-773-2179",
            "fax_number": "760-773-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTER",
        "first_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "P.T. , D.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.