Individual provider Active NPI

Ana Martinez, PT

  • Physical Therapist
  • Coamo, PR
National Provider Identifier
1578973632
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
958 Issued in PR
Practice address
P2 Calle 17
Urb Villa Madrid
Coamo, PR 00769-9516
Phone
(787) 306-6669
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 958 PR Primary

Addresses

Primary practice location

P2 Calle 17
Urb Villa Madrid
Coamo, PR 00769-9516

Mailing address

P2 Calle 17
Urb Villa Madrid
Coamo, PR 00769-9516
Phone (787) 306-6669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501000502 PR Practitioner - Physical Therapist in Private Practice 1557887692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
958PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fisioacuatik Inc. Physical Therapist CurrentSince Apr 2, 2025 Accepting new patients

Locations

13 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 632-5542

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1578973632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P2 CALLE 17",
            "address_2": "URB VILLA MADRID",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699516",
            "telephone_number": "787-306-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P2 CALLE 17",
            "address_2": "URB VILLA MADRID",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699516",
            "telephone_number": "787-306-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.