Individual provider Active NPI

Rocio Amanda Balbaro-Martinez, PTA

  • Physical Therapy Assistant
  • Sterling, VA
National Provider Identifier
1235684895
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306602992 Issued in VA
Practice address
1204 Chase Heritage Cir
Apt 101
Sterling, VA 20164-4922
Phone
(703) 585-9671
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306602992 VA Primary

Addresses

Primary practice location

1204 Chase Heritage Cir
Apt 101
Sterling, VA 20164-4922

Mailing address

1204 Chase Heritage Cir
Apt 101
Sterling, VA 20164-4922
Phone (703) 585-9671

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

LicenseStateTypeSpecialty
2306602992VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1235684895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 CHASE HERITAGE CIR",
            "address_2": "APT 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644922",
            "telephone_number": "703-585-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 CHASE HERITAGE CIR",
            "address_2": "APT 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644922",
            "telephone_number": "703-585-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBARO-MARTINEZ",
        "first_name": "ROCIO",
        "middle_name": "AMANDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.