Individual provider Active NPI

Martyna Ponce

  • Physical Therapist
  • Saginaw, TX
National Provider Identifier
1194366906
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38839 Issued in FL
Practice address
1640 Basswood Blvd
Saginaw, TX 76131-4967
Phone
(817) 502-6339
Fax
(817) 204-1045
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP056165T TX
Physical Therapist 225100000X PT38839 FL Primary
Physical Therapist 225100000X CP032508T SC
Physical Therapist 225100000X 296510 CA
Physical Therapist 225100000X 12614 SC

Addresses

Primary practice location

1640 Basswood Blvd
Saginaw, TX 76131-4967

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Other identifiers 6

IdentifierTypeStateIssuer
051843OtherNYNEW YORK STATE EDUCATION DEPARTMENT
40QA01994000OtherNJNEW JERSEY DIVISION OF CONSUMER AFFAIRS
296510OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA
12614OtherSCBOARD OF PHYSICAL THERAPY
CP032508TOtherSCPT LICENSE
PT38839OtherFLFLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, SC, NJ, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200221001964 CA Practitioner - Physical Therapist in Private Practice 3476980962 Reassigns benefits to 1 organization
I20230421000367 FL Practitioner - Physical Therapist in Private Practice 3476980962 Reassigns benefits to 1 organization
I20240819000210 SC Practitioner - Physical Therapist in Private Practice 3476980962 Reassigns benefits to 2 organizations
I20241122003579 NJ Practitioner - Physical Therapist in Private Practice 3476980962 Reassigns benefits to 1 organization
I20260522000739 TX Practitioner - Physical Therapist in Private Practice 3476980962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort Orthopaedic Sports and Spine Center LLCGroup PAC ID 1355301771, 48 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1076 Ribaut Rd
Suite 102
Beaufort, SC 29902-5490
Phone (843) 379-0836

1640 Basswood Blvd
Saginaw, TX 76131-4967
Phone (817) 502-6339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12614SCMDFamily Medicine Physician
PT38839FLMDPhysical Therapist
CP032508TSCMDPhysical Therapist
CP056165TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Hearing Corporation USA Inc CurrentSince Apr 3, 2023 Accepting new patients
Back in Motion Cape Coral LLC Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients
Two Trees Physical Therapy & Wellness Inc Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients
Empower Physical Therapy and Wellness Center, Inc Physical Therapist CurrentSince Nov 14, 2024 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince May 12, 2025 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince May 12, 2025 Accepting new patients
Ridgeland Physical Therapy, Inc. Physical Therapist CurrentSince Jul 15, 2024 Accepting new patients

Locations

957 Faulkner Rd
Ste 105
Santa Paula, CA 93060
Phone (805) 749-2273

2895 Loma Vista Rd
Ste H
Ventura, CA 93003
Phone (805) 269-6316

3418 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 642-8565

2708 Santa Barbara Blvd
Ste 145
Cape Coral, FL 33914
Phone (239) 214-3589

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

408 Summit Ave
Jersey City, NJ 07306
Phone (201) 613-9200

1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

10616 S Jacob Smart Blvd
Ste 104
Ridgeland, SC 29936
Phone (843) 726-6600

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 9

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1194366906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BASSWOOD BLVD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761314967",
            "telephone_number": "817-502-6339",
            "fax_number": "817-204-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "MARTYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP056165T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38839",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP032508T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296510",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
            "identifier": "051843",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY DIVISION OF CONSUMER AFFAIRS",
            "identifier": "40QA01994000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "296510",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHYSICAL THERAPY",
            "identifier": "12614",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "CP032508T",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PT38839",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.