Martin Orthopedic Rehabilitation Physical Therapy Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23377 Issued in CA

Legal business name

MARTIN ORTHOPEDIC REHABILITATION PHYSICAL THERAPY INC.

Practice address

27126 Paseo Espada Ste 1621a
San Juan Capistrano, CA 92675-6703

Phone

(949) 347-1021

Fax

(949) 347-0981

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brady C. Martin, P.T.NPI 1578512950

Title

Owner

Phone

(949) 347-1021

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brady C Martin, P.T.

  • Orthopedic Physical Therapist
  • San Juan Capo, CA
  • NPI 1578512950
  Medicare reassignment NPD Authorized official
• Mark Kozuki, PT

  • Orthopedic Physical Therapist
  • Costa Mesa, CA
  • NPI 1316275191
  NPD (past)
• Kevin Michael Rausch, MPT

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1649221979
  NPD (past)
• Joseph Michael Walker, P.T.

  • Specialist
  • Carlsbad, CA
  • NPI 1285807123
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1316987274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27126 PASEO ESPADA STE 1621A",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756703",
            "telephone_number": "949-347-1021",
            "fax_number": "949-347-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27126 PASEO ESPADA STE 1621A",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756703",
            "telephone_number": "949-347-1021",
            "fax_number": "949-347-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN ORTHOPEDIC REHABILITATION PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-347-1021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "23377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT22377C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariposa Women and Family Center
• Mark Stephen Sutton, MD AMC
• Marriage & Family Therapy of Mind-Body Wellness, Inc.
• Marriage Made Better Relationship Counseling
• Arlene Forero Marten, RN
• Julie Kathleen Martin, LMFT
• Maria Teresa Martin, LICENSED MFT
• Selina Martinez
• Christopher T Martus
• Kathleen Mary Mates-Youngman, M.A.

• Specialist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.