Martha Minjares Mattox, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 8284 Issued in CA

Practice address

220 Montgomery St
Suite 110
San Francisco, CA 94104-3402

Phone

(415) 986-4979

Fax

(415) 986-6951

NPI assigned

Feb 9, 2007

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ultrahealth Inc

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • San Francisco, CA
  • NPI 1558435727
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1285775395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST",
            "address_2": "SUITE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043402",
            "telephone_number": "415-986-4979",
            "fax_number": "415-986-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST",
            "address_2": "SUITE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043402",
            "telephone_number": "415-986-4979",
            "fax_number": "415-986-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "MARTHA",
        "middle_name": "MINJARES",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 8284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Renee Mattias
• Shelley Marie Mattimoe
• Aras Nikodemas Mattis, M.D., PH.D.
• Amy Nicole Mattiuzzi
• Claudia Jean Mattox, P.T.
• Victoria Mattox, NP
• Jordan Anthony Mattson
• Bongie Ritz Matudio
• Sierra R Matula, M.D.
• Jordan Matulis

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.