Individual provider Active NPI

Martha M Watry, PT, CERT .M.D.T.

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1497736433
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1356 Issued in NV
Practice address
1610 Robb Dr Ste D5
Reno, NV 89523-3520
Phone
(775) 746-9222
Fax
(775) 746-9224
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1356 NV Primary
Physical Therapist 225100000X 5100 OR

Addresses

Primary practice location

1610 Robb Dr Ste D5
Reno, NV 89523-3520

Mailing address

1610 Robb Dr Ste D5
Reno, NV 89523-3520
Phone (775) 746-9222

Other identifiers 1

IdentifierTypeStateIssuer
3416142MedicaidNV

Other names 1

  • Martha M Dombrowski Former name

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

LicenseStateTypeSpecialty
1356NVMDPhysical Therapist
5100ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Health Acupuncture CurrentSince Jan 28, 2024 Accepting new patients
Eugene Physical Therapy at Oak Street Past Accepting new patients
Custom Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Eugene Physical Therapy, LLC Physical Therapist PastSince Aug 1, 2003 Accepting new patients
Cottage Grove Physical Therapy Services, Inc Physical Therapist Past Accepting new patients
Central Coast Physical Therapy Inc PastSince Jul 5, 1995 Accepting new patients
Custom Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Locations

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

Organizations & group practices 7

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1497736433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ROBB DR STE D5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233520",
            "telephone_number": "775-746-9222",
            "fax_number": "775-746-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ROBB DR STE D5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233520",
            "telephone_number": "775-746-9222",
            "fax_number": "775-746-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATRY",
        "first_name": "MARTHA",
        "middle_name": "M",
        "credential": "PT, CERT .M.D.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1356",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416142",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "DOMBROWSKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.