Edgardo Martan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

11290A Issued in AZ

Practice address

2500 N Silverbell Rd
Ste. 150
Tucson, AZ 85745-7062

Phone

(520) 624-2999

Fax

(520) 305-4719

NPI assigned

Aug 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ati Holdings of Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1508310400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N SILVERBELL RD",
            "address_2": "STE. 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457062",
            "telephone_number": "520-624-2999",
            "fax_number": "520-305-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTAN",
        "first_name": "EDGARDO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "11290A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Marshall
• Spencer Steele Marshall, PHARMD
• Timothy M Marshall, MD
• William N Marshall, M.D.
• Laurence Marsteller, M.D
• Jonathan Robert Martens, ACNP
• Martha Flores, PHD, OT, LLC
• Martha R Miller MD PC
• Linda Martignago, LMT
• Martin E. Sodomsky, M.D.

• Physical Therapy Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.