Jose Rafael Martinez, PHYSICAL THERAPIST
Individual provider Active NPI Specialist · Oakland, FL
NPI 1124040647 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124040647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PT19100 (FL)
- Practice address
- 5599 N Orth Dixie Highway
Oakland, FL 33334 - Phone
- (954) 229-7646
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dept of Veteran Affairs | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT19100 | FL | Yes |
Addresses
Primary practice location
5599 N Orth Dixie Highway
Oakland, FL 33334
Mailing address
5599 N Dixie Hwy
Oakland Park, FL 33334-3406
Phone (954) 384-9437
Other providers in Oakland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.