Zachary Bruce Martindale, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

10850 W Garden Lakes Pkwy
Avondale, AZ 85392-3799

Phone

(623) 478-4000

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1205313681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18542 W CARLOTA LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853871612",
            "telephone_number": "760-646-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 W GARDEN LAKES PKWY",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923799",
            "telephone_number": "623-478-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18542 W Carlota Ln",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853871612",
            "country_code": "US",
            "telephone_number": "760-646-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINDALE",
        "first_name": "ZACHARY",
        "middle_name": "BRUCE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Joy Marshall, BA, SLPA
• Justin Martin
• Katie Martin, D.M.D.
• Melissa Jade Martin
• Vanessa Martin
• Karen Abril Martinez Aguilera, RN
• Aurora Velez Martinez
• Cynthia Martinez, FNP-C
• Deborah Martinez
• Jennifer Nicole Martinez, DPT

• Athletic Trainer in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.