Active NPI
Linda S Martinic, PT
- Physical Therapist
- Socorro, NM
National Provider Identifier
1154463842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 587
- Practice address
- 1115 N California St
Socorro, NM 87801-0642 - Phone
- (505) 838-0800
- Fax
- (505) 838-3999
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 587 | NM | Primary |
Addresses
Primary practice location
1115 N California St
Socorro, NM 87801-0642
Mailing address
602 Finch Avenue
Socorro, NM 87801
Phone (505) 838-0800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88722520 | Other | NM | MEDICAID PCO |
| D4005 | Medicaid | NM | |
| 00P3051 | Other | NM | MEDICAID-ASC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587 | NM | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154463842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 FINCH AVENUE",
"city": "SOCORRO",
"state": "NM",
"postal_code": "87801",
"telephone_number": "505-838-0800",
"fax_number": "505-838-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N CALIFORNIA ST",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878010642",
"telephone_number": "505-838-0800",
"fax_number": "505-838-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINIC",
"first_name": "LINDA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PCO",
"identifier": "88722520",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4005",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-ASC",
"identifier": "00P3051",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.