Individual provider Active NPI

Lisa Jean Martens, PT

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1700018280
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8380 Issued in MN
Practice address
755 Prior Ave N Ste 235E
Saint Paul, MN 55104-1254
Phone
(651) 645-8083
Fax
(651) 645-8078
NPI assigned
Aug 17, 2009
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8380 MN Primary
Orthopedic Physical Therapist 2251X0800X 8380 MN

Addresses

Primary practice location

755 Prior Ave N Ste 235E
Saint Paul, MN 55104-1254

Mailing address

4801 W 81St St Ste 103
Bloomington, MN 55437-1111
Phone (952) 924-0199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000703 MN Practitioner - Physical Therapist in Private Practice 9133265127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saunders Therapy Centers IncGroup PAC ID 0244307684, 2 clinicians

Practice addresses (Care Compare)

10900 73Rd Ave N
Suite 140
Maple Grove, MN 55369-5400
Phone (763) 315-1296

755 Prior Ave N
Suite 235E
Saint Paul, MN 55104-1063
Phone (651) 645-8083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8380MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saunders Therapy Centers Inc Physical Therapist CurrentSince Mar 26, 2016 Accepting new patients
Therapy Partners Inc Physical Therapist Past Accepting new patients

Locations

10900 73rd Ave N
Ste 110
Maple Grove, MN 55369
Phone (763) 315-1296

10900 73rd Ave N
Ste 112
Maple Grove, MN 55369
Phone (763) 315-1296

10900 73rd Ave N
Ste 140
Maple Grove, MN 55369
Phone (763) 315-1296

4801 W 81st St
Ste 103
Minneapolis, MN 55437
Phone (612) 834-4063

2334 University Ave W
Ste 170
Saint Paul, MN 55114
Phone (651) 645-8083

755 Prior Ave N
Ste 235E
Saint Paul, MN 55104
Phone (651) 645-8083

Organizations & group practices 2

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1700018280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W 81ST ST STE 103",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371111",
            "telephone_number": "952-924-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PRIOR AVE N STE 235E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041254",
            "telephone_number": "651-645-8083",
            "fax_number": "651-645-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8380",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "8380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.