Individual provider Active NPI

Martin Castaneda Solorzano, PT, DPT

  • Neurology Physical Therapist
  • Houston, TX
National Provider Identifier
1366954752
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
1294786 Issued in TX
Practice address
3601 N Macgregor Way
Houston, TX 77004-8004
Phone
(713) 873-4644
Fax
(713) 873-4834
NPI assigned
Oct 25, 2017
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 63005 OR
Neurology Physical Therapist 2251N0400X 1294786 TX Primary

Addresses

Primary practice location

3601 N Macgregor Way
Houston, TX 77004-8004

Mailing address

222 Rabbit TRL
Lake Jackson, TX 77566-3729
Phone (979) 248-9410

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

LicenseStateTypeSpecialty
63005ORMDPhysical Therapist
1294786TXMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1366954752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 RABBIT TRL",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775663729",
            "telephone_number": "979-248-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 N MACGREGOR WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770048004",
            "telephone_number": "713-873-4644",
            "fax_number": "713-873-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA SOLORZANO",
        "first_name": "MARTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63005",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1294786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.