Patricia Donovan Martinez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13313 Issued in CA

Practice address

100 Pleasant Hill Ave N
Sebastopol, CA 95472-3104

Phone

(707) 829-3282

Fax

(707) 829-3287

NPI assigned

Feb 12, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley Ann Cook, PT

  • Orthopedic Physical Therapist
  • Santa Rosa, CA
  • NPI 1033343140
  Medicare reassignment
• Kelsey Michelle Feulner, DPT

  • Orthopedic Physical Therapist
  • Oakland, CA
  • NPI 1316496854
  Medicare reassignment
• Emileigh Ip Harrington, PT, DPT, OCS

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1467996009
  Medicare reassignment
• Christina Leisen, P.T., D.P.T.

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1023414711
  Medicare reassignment
• Mark Steve Lovett, DPT

  • Physical Therapist
  • San Francisco, CA
  • NPI 1215312491
  Medicare reassignment
• Elyse Detweiler McCluskey, PT

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1316462633
  Medicare reassignment
• Kevin Thomas White, MPT

  • Orthopedic Physical Therapist
  • Petaluma, CA
  • NPI 1245310549
  Medicare reassignment
• Shannen M. Kirchner, DPT

  • Physical Therapist
  • Cedar Knolls, NJ
  • NPI 1699010678

  CA

  Medicare reassignment
• Nadine Raymond

  • Hand Occupational Therapist
  • Fort Sill, OK
  • NPI 1083010813

  CA

  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sebastopol Physical Therapy and Pilates Studio

  • Physical Therapist
  • Sebastopol, CA
  • NPI 1538201546
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1326180175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954731355",
            "telephone_number": "707-829-3282",
            "fax_number": "707-829-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLEASANT HILL AVE N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723104",
            "telephone_number": "707-829-3282",
            "fax_number": "707-829-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "PATRICIA",
        "middle_name": "DONOVAN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13313",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT13313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ07609Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Martinez
• Adiah Martinez
• Isabel Brooke Martinez, L.AC.
• Javier Martinez
• Nathalie Martinez, ASW
• Mary Good LMFT 97461
• Nicole Marie Matos
• Scott Shigeji Matsuura, LCSW 85567
• Taylor Ashleigh Matthews, MA, LMFT
• Holly Ann Matticola, P.T.A.

• Physical Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.