Individual provider Active NPI

Francisco Javier Martinez, PT

  • Orthopedic Physical Therapist
  • Lancaster, CA
National Provider Identifier
1619317658
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT17853 Issued in CA
Practice address
2010 W Avenue K # 686
Lancaster, CA 93536-5229
Phone
(661) 948-1999
Fax
(661) 948-6699
NPI assigned
Jul 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT17853 CA Primary
Ergonomics Physical Therapist 2251E1200X PT17853 CA
Physical Therapist 225100000X PT17853 CA
Neurology Physical Therapist 2251N0400X PT17853 CA

Addresses

Primary practice location

2010 W Avenue K # 686
Lancaster, CA 93536-5229

Mailing address

2010 W Avenue K # 686
Lancaster, CA 93536-5229
Phone (661) 948-1999

Other identifiers 2

IdentifierTypeStateIssuer
PT17853OtherCAPT LICENSE
0PT178530OtherCABLUE SHIELD PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000918 CA Practitioner - Physical Therapist in Private Practice 8123260650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1935 W Ave L
Lancaster, CA 93534-8827
Phone (661) 948-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17853CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Rehab Physical Therapy Center Inc Physical Therapist CurrentSince Sep 1, 2014 Accepting new patients
PT Plus Rehab, Inc Physical Therapist PastSince Jun 1, 2015 Accepting new patients

Locations

2010 W Avenue K
Lancaster, CA 93536
Phone (661) 729-0530

1935 W Avenue L
Lancaster, CA 93534
Phone (661) 948-1999

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1619317658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W AVENUE K # 686",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365229",
            "telephone_number": "661-948-1999",
            "fax_number": "661-948-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W AVENUE K # 686",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365229",
            "telephone_number": "661-948-1999",
            "fax_number": "661-948-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT17853",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT17853",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17853",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT17853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT17853",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "0PT178530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.