Active NPI
Amy Martinez
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1497165666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4201
- Practice address
- 1010 Lead Ave SE
Suite 100
Albuquerque, NM 87106-5214 - Phone
- (505) 724-4400
- Fax
- (505) 724-4384
- NPI assigned
- Apr 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4201 | NM | Primary |
Addresses
Primary practice location
1010 Lead Ave SE
Suite 100
Albuquerque, NM 87106-5214
Mailing address
201 Cedar St SE
Suite 6600
Albuquerque, NM 87106-4917
Phone (505) 724-4300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4201 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1497165666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE",
"address_2": "SUITE 6600",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064917",
"telephone_number": "505-724-4300",
"fax_number": "505-724-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LEAD AVE SE",
"address_2": "SUITE 100",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065214",
"telephone_number": "505-724-4400",
"fax_number": "505-724-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.