Individual provider Active NPI

Marissa Martinez, PT, DPT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1649949678
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37643 Issued in FL
Practice address
4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418
Phone
(561) 733-5590
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 37643 FL Primary

Addresses

Primary practice location

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418

Mailing address

7373 Prescott LN
Lake Worth, FL 33467-7884
Phone (561) 281-8379

Other practice location 1

7373 Prescott Ln
Lake Worth, FL 33467-7884
Phone (561) 281-8379

Other practice location 2

4723 W Atlantic Ave Ste 19
Delray Beach, FL 33445-3865
Phone (561) 277-2369

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928002824 FL Practitioner - Physical Therapist in Private Practice 5799182101 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37643FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Health and Fitness Solutions, LLC CurrentSince Jun 14, 2023 Accepting new patients
Orthopaedic Surgery Associates, PA CurrentSince Feb 27, 2023 Accepting new patients
Orthopaedic Surgery Associates PA CurrentSince Feb 27, 2023 Accepting new patients
Action Physical Therapy, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

4723 W Atlantic Ave
Ste 19
Delray Beach, FL 33445
Phone (561) 277-2369

11211 Prosperity Farms Rd
Ste B104
Palm Beach Gardens, FL 33410

106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1649949678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 PRESCOTT LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677884",
            "telephone_number": "561-281-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418",
            "telephone_number": "561-733-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 Prescott Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334677884",
            "country_code": "US",
            "telephone_number": "561-281-8379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4723 W Atlantic Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334453865",
            "country_code": "US",
            "telephone_number": "561-277-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MARISSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.