Individual provider Active NPI

Carolina Mora Martinez

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1639638208
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6300 Westpark Dr Ste 212
Houston, TX 77057-7207
Phone
(713) 339-2273
Fax
(713) 339-1130
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Physical Medicine & Rehabilitation Physician 208100000X 1038008 TX

Addresses

Primary practice location

6300 Westpark Dr Ste 212
Houston, TX 77057-7207

Mailing address

6300 Westpark Dr Ste 212
Houston, TX 77057-7207
Phone (713) 339-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411000684 TX Practitioner - Physical Therapist in Private Practice 4082089735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Rite Medical and Rehab Clinic, IncGroup PAC ID 6406938059, 2 clinicians

Practice addresses (Care Compare)

6300 Westpark Dr
Suite 212
Houston, TX 77057-7207
Phone (713) 339-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1038008TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Rite Medical and Rehab Clinic, Inc. CurrentSince Feb 1, 2023 Accepting new patients

Locations

6300 Westpark Dr
Ste 212
Houston, TX 77057
Phone (713) 339-2273

Organizations & group practices 1

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1639638208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-339-2273",
            "fax_number": "713-339-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WESTPARK DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577207",
            "telephone_number": "713-339-2273",
            "fax_number": "713-339-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CAROLINA",
        "middle_name": "MORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1038008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.