Organization Active NPI

Martinek Physical Therapy, P.L.C.

  • Physical Therapist
  • Clear Lake, IA
National Provider Identifier
1700819711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02267 Issued in IA
Legal business name
MARTINEK PHYSICAL THERAPY, P.L.C.
Practice address
20 N 8TH St
Clear Lake, IA 50428-1712
Phone
(641) 357-0165
Fax
(641) 357-0166
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald Gerald Martinek, P.T.
Title
Owner/Provider
Phone
(641) 231-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 02267 IA Primary

Addresses

Primary practice location

20 N 8TH St
Clear Lake, IA 50428-1712

Mailing address

20 N 8TH St
Clear Lake, IA 50428-1712
Phone (641) 357-0165

National Provider Directory

National Provider Directory

Locations

20 N 8th St
Clear Lake, IA 50428
Phone (641) 357-0165

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700819711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 8TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281712",
            "telephone_number": "641-357-0165",
            "fax_number": "641-357-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 8TH ST",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281712",
            "telephone_number": "641-357-0165",
            "fax_number": "641-357-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEK PHYSICAL THERAPY, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "641-231-1263",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clear Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.