Individual provider Active NPI

Abigail Martinez

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Rockville, MD
National Provider Identifier
1417171968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
L0002369 Issued in MD
Practice address
15245 Shady Grove Rd Ste C100
Montgomery Therapy, LLC
Rockville, MD 20850-3222
Phone
(301) 417-2652
Fax
(301) 417-2653
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X L0002369 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd Ste C100
Montgomery Therapy, LLC
Rockville, MD 20850-3222

Mailing address

15245 Shady Grove Rd Ste C100
Montgomery Therapy, LLC
Rockville, MD 20850-3222
Phone (301) 417-2652

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
L0002369MDMDPulmonary Rehabilitation Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Therapy & Wellness LLC Past Accepting new patients
Montgomery Therapy, LLC PastSince Jul 20, 2011 Accepting new patients

Organizations & group practices 2

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417171968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE C100",
            "address_2": "MONTGOMERY THERAPY, LLC",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE C100",
            "address_2": "MONTGOMERY THERAPY, LLC",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "MD",
            "license": "L0002369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.