Individual provider Active NPI

Martin Andrade, DPT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1336212935
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26667 Issued in CA
Practice address
15 Corporate Plaza Dr
Suite 130
Newport Beach, CA 92660-7918
Phone
(949) 759-1840
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26667 CA Primary

Addresses

Primary practice location

15 Corporate Plaza Dr
Suite 130
Newport Beach, CA 92660-7918

Mailing address

320 15TH St
Huntington Beach, CA 92648-4202
Phone (310) 562-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070519000118 CA Practitioner - Physical Therapist in Private Practice 3274630686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical RX Physical Therapy IncGroup PAC ID 8820195233, 6 clinicians

Practice addresses (Care Compare)

2130 Main St
Suite 140
Huntington Beach, CA 92648-6441
Phone (714) 374-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26667CAMDClinical Social Worker
PT26667CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Home Physical Therapy PC CurrentSince Aug 16, 2020 Accepting new patients
Rhodes Physical Therapy of Ca Apc Physical Therapist PastSince Aug 17, 2025 Accepting new patients
Ann Steinfeld Physical Therapy PastSince Mar 1, 2001 Accepting new patients
Prima Pain Therapy Group, Inc Physical Therapist PastSince Oct 15, 2007 Accepting new patients
Impt, Inc. Physical Therapist PastSince Jul 7, 2004 Accepting new patients

Locations

533 2nd St
Ste 341
Encinitas, CA 92024
Phone (760) 271-3850

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1336212935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 15TH ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484202",
            "telephone_number": "310-562-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE PLAZA DR",
            "address_2": "SUITE 130",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607918",
            "telephone_number": "949-759-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.