Robert Martinez
Individual provider Active NPI Physical Therapy Assistant · Heathrow, FL
NPI 1487899506 · NPPES record last updated Feb 21, 2012
Key facts
- NPI
- 1487899506
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 3043 (MA)
- Practice address
- 1435 International Parkway
Heathrow, FL 32746 - Phone
- (180) 079-8603
- NPI assigned
- Dec 3, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3043 | MA | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3043 | MA | Yes |
Addresses
Primary practice location
1435 International Parkway
Heathrow, FL 32746
Mailing address
8301 E Prentice Ave
Greenwood Village, CO 80111-2903
Phone (130) 332-2830
Other providers in Heathrow, FL
- Angela J Lee
- Donna Liegel
- Kenneth H Lucas
- Patrick Lupton
- Chad Magilke
- April Faith Mathews
- Brian Scott Michno
- Panagiotis Mitropoulos
- Karen Moore
- New Beginnings Private Care, LLC
All providers in Heathrow, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.