Active NPI
Nicholas Martinez
- Physical Therapist
- Poulsbo, WA
National Provider Identifier
1295381028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60970195
- Practice address
- 19319 7TH Ave NE Ste 108
Poulsbo, WA 98370-7442 - Phone
- (360) 598-3764
- NPI assigned
- Aug 16, 2019
- Sex
- Male
- 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 | 60970195 | WA | Primary |
Addresses
Primary practice location
19319 7TH Ave NE Ste 108
Poulsbo, WA 98370-7442
Mailing address
2400 MW Myhre Rd
Silverdale, WA 98383
Phone (360) 598-3764
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60970195 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1295381028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MW MYHRE RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98383",
"telephone_number": "360-598-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19319 7TH AVE NE STE 108",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707442",
"telephone_number": "360-598-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60970195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.