Active NPI
Rudy Martin, PT
- Physical Therapist
- Buena Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39085
- Practice address
- 6131 Orangethorpe Ave Ste 135
Buena Park, CA 90620-4901 - Phone
- (714) 523-3822
- NPI assigned
- Jul 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39085 | CA | Primary |
Addresses
Primary practice location
6131 Orangethorpe Ave Ste 135
Buena Park, CA 90620-4901
Mailing address
2311 Elden Ave Apt 24
Costa Mesa, CA 92627-1590
Phone (949) 244-8328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2854 N Santiago Blvd
Suite 100
Orange, CA 92867-1700
Phone (714) 771-7047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39085 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M. Somerndike Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Sequoia Physical Therapy, Inc | Current | Accepting new patients | |
| Sequoia Physical Therapy Research Institute Inc | Past | Accepting new patients |
Locations
6131 Orangethorpe Ave
Ste 135
Buena Park, CA 90620
Phone (714) 523-3822
6131 Orangethorpe Ave
Ste 180
Buena Park, CA 90620
Phone (714) 523-5030
2854 N Santiago Blvd
Ste 100
Orange, CA 92867
Phone (714) 771-7047
415 N Tustin St
Orange, CA 92867
Phone (714) 744-8244
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Orange, CA
- NPI 1578861076
Physical Therapist
-
- Physical Therapy Clinic/Center
- Buena Park, CA
- NPI 1174559223
-
- Physical Therapy Clinic/Center
- Orange, CA
- NPI 1982942322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1639424641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 ELDEN AVE APT 24",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271590",
"telephone_number": "949-244-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6131 ORANGETHORPE AVE STE 135",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204901",
"telephone_number": "714-523-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "RUDY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.