Individual provider Active NPI

Robert Martinez, MPT

  • Physical Therapist
  • Fallbrook, CA
National Provider Identifier
1528042488
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30065 Issued in CA
Practice address
521 E Elder St
Ste 106
Fallbrook, CA 92028-3081
Phone
(760) 723-8337
Fax
(760) 723-5476
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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 PT30065 CA Primary

Addresses

Primary practice location

521 E Elder St
Ste 106
Fallbrook, CA 92028-3081

Mailing address

24630 Washington Ave
Ste 200
Murrieta, CA 92562-6177
Phone (951) 696-9353

Other identifiers 3

IdentifierTypeStateIssuer
0206905OtherWAWA DEPT OF LABOR
WPT30065AOtherCAMEDICARE PTAN
P00279574OtherCARR MEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 11

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1528042488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE",
            "address_2": "STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST",
            "address_2": "STE 106",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283081",
            "telephone_number": "760-723-8337",
            "fax_number": "760-723-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ROBERT",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT30065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR",
            "identifier": "0206905",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WPT30065A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00279574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.