Brady C Martin, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

23377 Issued in CA

Practice address

27126 Paseo Espada Ste 1621
San Juan Capo, CA 92675-6703

Phone

(949) 347-1021

Fax

(949) 347-0981

NPI assigned

May 10, 2006

Last updated

Oct 29, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin Orthopedic Rehabilitation Physical Therapy Inc.

  • Specialist
  • San Juan Capistrano, CA
  • NPI 1316987274
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1578512950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27126 PASEO ESPADA STE 1621",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926756703",
            "telephone_number": "949-347-1021",
            "fax_number": "949-347-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27126 PASEO ESPADA STE 1621",
            "city": "SAN JUAN CAPO",
            "state": "CA",
            "postal_code": "926756703",
            "telephone_number": "949-347-1021",
            "fax_number": "949-347-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRADY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "23377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WPT22377C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Decker, PT
• Roxanne K Martir
• Jesus Alberto Morales, M.D.
• R & K Lombard Pharmacy Corp. (Medicine Shoppe)

• Orthopedic Physical Therapist in San Juan Capo, CA
• Providers in San Juan Capo, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.