Individual provider Active NPI

Martha Quiroga, PT

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1629345129
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003905 Issued in OH
Practice address
3450 W Central Ave Ste 131
Toledo, OH 43606-1420
Phone
(734) 347-1547
Fax
(419) 685-9087
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 003905 OH
Physical Therapist 225100000X 003905 OH Primary

Addresses

Primary practice location

3450 W Central Ave Ste 131
Toledo, OH 43606-1420

Mailing address

3450 W Central Ave Ste 131
Toledo, OH 43606-1420
Phone (734) 347-1547

Other practice location 1

1690 Woodlands Dr
Suite 200
Maumee, OH 43537-4045
Phone (734) 347-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003905OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1629345129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 131",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061420",
            "telephone_number": "734-347-1547",
            "fax_number": "419-685-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W CENTRAL AVE STE 131",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061420",
            "telephone_number": "734-347-1547",
            "fax_number": "419-685-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Woodlands Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435374045",
            "country_code": "US",
            "telephone_number": "734-347-1547",
            "fax_number": "419-897-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIROGA",
        "first_name": "MARTHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "003905",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.