Active NPI
Rebecca Helen Martinez, DPT, PT
- Physical Therapist
- Baltimore, MD
National Provider Identifier
1346467040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21718
- Practice address
- 3501 Taylor Ave
Baltimore, MD 21236-4406 - Phone
- (410) 444-5000
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33539 | CA | |
| Physical Therapist | 225100000X | 21718 | MD | Primary |
| Physical Therapist | 225100000X | 2725 | HI | |
| Physical Therapist | 225100000X | 16817 | MA |
Addresses
Primary practice location
3501 Taylor Ave
Baltimore, MD 21236-4406
Mailing address
3501 Taylor Ave
Baltimore, MD 21236-4406
Other practice location 1
2140 Taylor St
apt 905
San Francisco, CA 94133
Phone (617) 240-4626
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21718 | Other | MD | MARYLAND PT LICENSE |
| 33539 | Other | CA | CA PT LICENSE |
| 16817 | Other | MA | MA PT LICENSE |
| 2725 | Other | HI | HI PT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebeccaw@mdschblind.org |
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 |
|---|---|---|---|
| 21718 | MD | MD | Clinical Social Worker |
| 33539 | CA | MD | Physical Therapist |
| 2725 | HI | MD | Physical Therapist |
| 16817 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1346467040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 TAYLOR AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TAYLOR AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364406",
"telephone_number": "410-444-5000"
}
],
"practiceLocations": [
{
"address_1": "2140 Taylor St",
"address_2": "apt 905",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94133",
"country_code": "US",
"telephone_number": "617-240-4626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "REBECCA",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33539",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21718",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "2725",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16817",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND PT LICENSE",
"identifier": "21718",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA PT LICENSE",
"identifier": "33539",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA PT LICENSE",
"identifier": "16817",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI PT LICENSE",
"identifier": "2725",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebeccaw@mdschblind.org",
"affiliation": "N",
"address_1": "3501 Taylor Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212364406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.