Individual provider Active NPI

Angela Marie Gerez-Martinez Ayson, DPT

  • Physical Therapist
  • Upland, CA
National Provider Identifier
1114320744
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41356 Issued in CA
Practice address
972 Mesa View St
Upland, CA 91784-8000
Phone
(909) 973-3856
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41356 CA
Physical Therapist 225100000X PT41356 CA Primary

Addresses

Primary practice location

972 Mesa View St
Upland, CA 91784-8000

Mailing address

3908 10TH St
Riverside, CA 92501-3522
Phone (951) 274-7744

Other names 1

  • Angela Martinez Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118001972 CA Practitioner - Physical Therapist in Private Practice 2860614369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

750 W Route 66
Suite N
Glendora, CA 91740-4164
Phone (626) 335-4077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41356CAMDDentist
PT41356CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Feb 23, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 17, 2024 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients

Locations

750 W Route 66
Ste N
Glendora, CA 91740
Phone (626) 335-4077

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1114320744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 10TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013522",
            "telephone_number": "951-274-7744",
            "fax_number": "951-274-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MESA VIEW ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848000",
            "telephone_number": "909-973-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYSON",
        "first_name": "ANGELA MARIE",
        "middle_name": "GEREZ-MARTINEZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41356",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.