Individual provider Active NPI

Michael Raymond Martines, DPT

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1619900503
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32422 Issued in CA
Practice address
6710 N West Ave Ste 101
Fresno, CA 93711-4300
Phone
(559) 709-7801
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 32422 CA
Physical Therapist 225100000X 32422 CA Primary

Addresses

Primary practice location

6710 N West Ave Ste 101
Fresno, CA 93711-4300

Mailing address

2285 W.San Madele
Fresno, CA 93711-1396
Phone (559) 433-1256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000625 CA Practitioner - Physical Therapist in Private Practice 6507956380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Martines Physical TherapistGroup PAC ID 0244402857, 3 clinicians

Practice addresses (Care Compare)

6710 N W Ave
Suite 101
Fresno, CA 93711-4300
Phone (559) 439-2002

Merit-based Incentive Payment System (MIPS)

Final score
49.76 of 100Reported as individual
Quality
62.93
Improvement activities
0
Cost
81.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Martines Physical Therapist, Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients
Advanced Physical and Occupational Therapy Physical Therapist PastSince Jul 1, 2011 Accepting new patients

Locations

6710 N West Ave
Ste 101
Fresno, CA 93711
Phone (559) 439-2002

7080 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-5580

6780 N West Ave
Ste 103
Fresno, CA 93711
Phone (559) 439-2002

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1619900503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 W.SAN MADELE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111396",
            "telephone_number": "559-433-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N WEST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114300",
            "telephone_number": "559-709-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINES",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "32422",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.