Individual provider Active NPI

Tristen Martinez, PHYSICAL THERAPIST

  • Physical Therapist
  • Las Cruces, NM
National Provider Identifier
1427977586
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20260165 Issued in NM
Practice address
4400 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7343
Phone
(575) 222-0188
NPI assigned
Jul 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT20260165 NM Primary

Addresses

Primary practice location

4400 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7343

Mailing address

1775 N Roadrunner Pkwy Unit 1303
Las Cruces, NM 88011-8177
Phone (575) 222-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4400 N Sonoma Ranch Blvd
Las Cruces, NM 88011-7343

4400 N Sonoma Ranch Blvd a
Las Cruces, NM 88011-7343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Action Therapy of Las Cruces Physical Therapist CurrentSince Jul 13, 2026 Accepting new patients

Locations

4400 N Sonoma Ranch Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 222-0188

Organizations & group practices 1

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": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427977586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 N ROADRUNNER PKWY UNIT 1303",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118177",
            "telephone_number": "575-222-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N SONOMA RANCH BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880117343",
            "telephone_number": "575-222-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TRISTEN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT20260165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.