Organization Active NPI

Martell Physical Therapy, Corp.

  • Physical Therapy Assistant
  • Vero Beach, FL
National Provider Identifier
1538760046
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
MARTELL PHYSICAL THERAPY, CORP.
Practice address
2501 27TH Ave Ste A9S
Vero Beach, FL 32960-1904
Phone
(772) 217-3829
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Felix Martell HernandezNPI 1720531981
Title
Ceo
Phone
(772) 217-3829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X NU Primary

Addresses

Primary practice location

2501 27TH Ave Ste A9S
Vero Beach, FL 32960-1904

Mailing address

2501 27TH Ave Ste A9S
Vero Beach, FL 32960-1904
Phone (772) 217-3829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124002866 FL Part B Supplier - Clinic/Group Practice 2668883513 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

2501 27th Ave
Ste A9S
Vero Beach, FL 32960
Phone (772) 217-3829

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1538760046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 27TH AVE STE A9S",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329601904",
            "telephone_number": "772-217-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 27TH AVE STE A9S",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329601904",
            "telephone_number": "772-217-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTELL PHYSICAL THERAPY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "MARTELL HERNANDEZ",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-217-3829"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.