Maria Kathleen Santos Martin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10950 Issued in AZ

Practice address

19636 N 27TH Ave Ste 106
Phoenix, AZ 85027-4014

Phone

(480) 712-4600

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Maria Kathleen Infante Santos Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recovia Physical Therapy LLCGroup PAC ID 4880949148, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Recovia Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1942708334
  Medicare reassignment Care Compare group NPD
• Recovia LLC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1386313864
  NPD (past)
• Recovia LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Phoenix, AZ
  • NPI 1568139616
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1326673658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616105",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274014",
            "telephone_number": "480-712-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARIA KATHLEEN",
        "middle_name": "SANTOS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292139",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PHYSICAL THERAPIST",
            "identifier": "292139",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PHYSICAL THERAPIST",
            "identifier": "10950",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA KATHLEEN",
            "last_name": "SANTOS",
            "middle_name": "INFANTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lance Jeffrey Martin
• Lee Martin, RPH
• Leo A. Martin, M.D.
• Leslie Diaz Martin
• Maria Christine Martin
• Marla Martin, PSYD, LP
• Mary Martin, PHARM D
• Megan Martin, RN
• Melissa Martin, DO
• Michael J Martin, OD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.