Nathan J Martinez
Individual provider Active NPI Physical Therapist · Jemez Springs, NM
NPI 1689852949 · NPPES record last updated Feb 8, 2008
Key facts
- NPI
- 1689852949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2153 (NV)
- Practice address
- 13 High Rd
Jemez Springs, NM 87025-9372 - Phone
- (505) 235-4415
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34422 | CA | MD | Physical Therapist |
| 2153 | NV | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2153 | NV | Yes |
| Physical Therapist | 225100000X | 34422 | CA |
Addresses
Primary practice location
13 High Rd
Jemez Springs, NM 87025-9372
Mailing address
13 High Rd
Jemez Springs, NM 87025-9372
Phone (505) 235-4415
Other providers in Jemez Springs, NM
- Sally Hunter
- Keisha Cardon Laskie
- Susan Lucy Miller
- Mountain Crest Counseling, LLC
- Sally Hunter LCSW LLC
- Jessica Sanders
- Susanne Annette Short
All providers in Jemez Springs, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.