Active NPI
Lindsey Martin
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1699176180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1197157
- Practice address
- 330 Golden SHR
Suite 250
Long Beach, CA 90802-4246 - Phone
- (866) 414-0448
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41257 | CA | |
| Physical Therapist | 225100000X | 1197157 | TX | Primary |
Addresses
Primary practice location
330 Golden SHR
Suite 250
Long Beach, CA 90802-4246
Mailing address
330 Golden SHR
Suite 250
Long Beach, CA 90802-4246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41257 | CA | MD | General Practice Dentistry |
| 1197157 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1699176180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 GOLDEN SHR",
"address_2": "SUITE 250",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 GOLDEN SHR",
"address_2": "SUITE 250",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024246",
"telephone_number": "866-414-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LINDSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41257",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1197157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.