Active NPI
Patrick Joe Martz, PTA
- Physical Therapy Assistant
- Calico Rock, AR
National Provider Identifier
1326235490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1759
- Practice address
- 103 Grasse Street
Calico Rock, AR 72519-0438 - Phone
- (870) 297-3726
- Fax
- (870) 297-4161
- NPI assigned
- Oct 2, 2007
- Last updated
- Oct 2, 2007
- 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 Therapy Assistant | 225200000X | 1759 | AR | Primary |
Addresses
Primary practice location
103 Grasse Street
Calico Rock, AR 72519-0438
Mailing address
103 Grasse Street
Calico Rock, AR 72519-0438
Phone (870) 297-3726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1759 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1326235490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GRASSE STREET",
"city": "CALICO ROCK",
"state": "AR",
"postal_code": "725190438",
"telephone_number": "870-297-3726",
"fax_number": "870-297-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GRASSE STREET",
"city": "CALICO ROCK",
"state": "AR",
"postal_code": "725190438",
"telephone_number": "870-297-3726",
"fax_number": "870-297-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTZ",
"first_name": "PATRICK",
"middle_name": "JOE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "1759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calico Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.