Angelo Martinez, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT1988 Issued in AR

Practice address

1801 S 74TH St
Fort Smith, AR 72903-2814

Phone

(479) 478-5559

NPI assigned

Apr 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1649560202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 REATA ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166005",
            "telephone_number": "479-926-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 74TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032814",
            "telephone_number": "479-478-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANGELO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "PT1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Andrew Martin, PH.D., LPC
• Spencer Aubrey Martin, QBHP
• Anna Rosa Martinazzo-Dunn, M.D.
• Eva Karen Martindale-Orite, LPC
• Guadalupe Martinez Gonzalez, COTA/L
• Chalice J Martinez, OT
• Jennifer Stephanie Martinez
• Maria Martinez, MHPP
• Timothy Y. Maryanov, M.D.
• Denning Nyakeri Masara, M.D

• Physical Medicine & Rehabilitation Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.