Caroline Lizzette Martinez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1946 Issued in MN

Practice address

896 Rose Ave E
Saint Paul, MN 55106-2625

Phone

(651) 484-3378

NPI assigned

Aug 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1619353307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 ROSE AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062625",
            "telephone_number": "651-484-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 ROSE AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062625",
            "telephone_number": "651-484-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lovell Ave W",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551134459",
            "country_code": "US",
            "telephone_number": "651-484-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CAROLINE",
        "middle_name": "LIZZETTE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Martin
• Sydnee Michelle Martin
• Jennifer Martineau, RN, LSN
• Mara Sofia Martinez Santori, MD, MS
• Arianna Lea Martinez-Scharber
• Jose Maria Farr Martinez, MD
• Kimberly A Martinez, CPNP
• Reid A Martinson, MD
• Rebecca Jo Binder Marturano, OTR/L.
• Kristine Marvin, MD

• Physical Therapy Assistant in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.