Active NPI
Martin Andrade, DPT
- Physical Therapist
- Newport Beach, CA
National Provider Identifier
1336212935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26667
- 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
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 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26667 | CA | MD | Clinical Social Worker |
| PT26667 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In-Home Physical Therapy PC | Current | Accepting new patients | |
| Rhodes Physical Therapy of Ca Apc | Physical Therapist | Past | Accepting new patients |
| Ann Steinfeld Physical Therapy | Past | Accepting new patients | |
| Prima Pain Therapy Group, Inc | Physical Therapist | Past | Accepting new patients |
| Impt, Inc. | Physical Therapist | Past | 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.
-
- Sports Physical Therapist
- Huntington Beach, CA
- NPI 1457436578
-
- Multi-Specialty Clinic/Center
- Encinitas, CA
- NPI 1588800874
-
- Physical Therapist
- Los Angeles, CA
- NPI 1275712341
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1760402515
-
- Orthopedic Physical Therapist
- Irvine, CA
- NPI 1184670804
-
- Physical Therapist
- Costa Mesa, CA
- NPI 1528944915
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.