Individual provider Active NPI

Martin Eres, PT, DPT, ATC

  • Physical Therapist
  • El Segundo, CA
National Provider Identifier
1548506926
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39560 Issued in CA
Practice address
840 Apollo St
Suite 101
El Segundo, CA 90245-4723
Phone
(310) 606-5664
NPI assigned
Dec 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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 39560 CA Primary

Addresses

Primary practice location

840 Apollo St
Suite 101
El Segundo, CA 90245-4723

Mailing address

840 Apollo St
Suite 101
El Segundo, CA 90245-4723

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
Bodies in Motion Physical Therapy Inc. Physical Therapist PastSince Aug 18, 2024 Accepting new patients
Patty Brown Physical Therapy & Assoc PC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1548506926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 APOLLO ST",
            "address_2": "SUITE 101",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 APOLLO ST",
            "address_2": "SUITE 101",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454723",
            "telephone_number": "310-606-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERES",
        "first_name": "MARTIN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.