Individual provider Active NPI

Johnathon Martinez

  • Physical Therapist
  • Bridgewater, MA
National Provider Identifier
1144028499
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28209 Issued in MA
Practice address
75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone
(508) 697-2000
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 28209 MA Primary

Addresses

Primary practice location

75A Scotland Blvd
Bridgewater, MA 02324-2302

Mailing address

75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone (508) 697-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311000569 MA Practitioner - Physical Therapist in Private Practice 6103347877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75 A Scotland Blvd
Bridgewater, MA 02324-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Silver Fern Practice, LLC Physical Therapist PastSince Jan 1, 2026 Accepting new patients
Silver Fern Practice, LLC Physical Therapist Past Accepting new patients

Locations

26 Massachusetts Ave
Arlington, MA 02474
Phone (617) 828-5617

400 Commonwealth Ave
#G2
Boston, MA 02215
Phone (617) 828-5617

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1144028499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302",
            "telephone_number": "508-697-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302",
            "telephone_number": "508-697-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JOHNATHON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "28209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.