Individual provider Active NPI

Kenny Vanessa Martinez

  • Physical Therapist
  • Hallandale Beach, FL
National Provider Identifier
1629988266
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
M626959507000 Issued in FL
Practice address
724NE 6 TH St Apt 8
Hallandale Beach, FL 33009
Phone
(352) 433-6084
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X M626959507000 FL Primary

Addresses

Primary practice location

724NE 6 TH St Apt 8
Hallandale Beach, FL 33009

Mailing address

724NE 6 TH St Apt 8
Hallandale Beach, FL 33009
Phone (352) 433-6084

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1629988266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724NE 6 TH ST APT 8",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "352-433-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724NE 6 TH ST APT 8",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "352-433-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KENNY",
        "middle_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "M626959507000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.