Andy Martinez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3650 Issued in NV

Practice address

201 Koontz LN
Carson City, NV 89701-5513

Phone

(775) 883-3622

NPI assigned

Aug 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1649724196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KOONTZ LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015513",
            "telephone_number": "775-883-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KOONTZ LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015513",
            "telephone_number": "775-883-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8455 Fannin St Ste B",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770544805",
            "country_code": "US",
            "telephone_number": "713-795-0891",
            "fax_number": "713-797-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Koontz Ln",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897015513",
            "country_code": "US",
            "telephone_number": "775-883-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANDY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "CP000117T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1278612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Mattoon DC LTD
• James H Marrone, LMSW
• Jan T Marson, OTR/L, BCP
• Anastasia Martel
• Haley Martin
• Denise Maria Martinez
• Olimpia Martinez
• Barbara Marty
• Marvel Dental Carson City, LLC
• Emily Mason

• Physical Therapist in Carson City, NV
• Providers in Carson City, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.