Victor Hugo Martinez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-3201 Issued in ID

Practice address

1957 Alvin Ricken Drive
Pocatello, ID 83201

Phone

(208) 227-4252

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By 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 names 1

• Victor Hugo Martinez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1588031710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 ALVIN RICKEN DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012727",
            "telephone_number": "208-235-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 ALVIN RICKEN DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-227-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VICTOR",
        "middle_name": "HUGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-3201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "MARTINEZ",
            "middle_name": "HUGO",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morningstar Martin
• Anthony Martinez
• Isabela Mary Martinez
• Joann S Martinez, LCSW
• Stephanie Danielle Martinez, LMSW
• Jenifer Massengale, RD, LD
• Erica Matamoros
• Devin M Matson
• Nathan D Matson, PA-C
• Adam Matthews, DPM

• Physical Therapy Assistant in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.