Individual provider Active NPI

Adriana Isabel Martinez Carrasquillo, PT, DPT

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1497564116
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4669 Issued in PR
Practice address
K172 Calle Guatemala
Bayamon, PR 00956-2836
Phone
(939) 715-1105
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 4669 PR Primary

Addresses

Primary practice location

K172 Calle Guatemala
Bayamon, PR 00956-2836

Mailing address

1785 Calle J Ferrer Y Ferrer Apt 903
San Juan, PR 00921-4199
Phone (939) 639-0245

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
4669PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1497564116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 CALLE J FERRER Y FERRER APT 903",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214199",
            "telephone_number": "939-639-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K172 CALLE GUATEMALA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009562836",
            "telephone_number": "939-715-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ CARRASQUILLO",
        "first_name": "ADRIANA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.