Individual provider Active NPI

Martha Martinez Delrio, PT

  • Physical Therapist
  • Laramie, WY
National Provider Identifier
1710967666
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT547 Issued in WY
Practice address
1909 Vista Dr
Laramie, WY 82070
Phone
(307) 745-8851
Fax
(307) 742-0961
NPI assigned
Jan 18, 2006
Last updated
Jun 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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 PT547 WY Primary

Addresses

Primary practice location

1909 Vista Dr
Laramie, WY 82070

Mailing address

1909 Vista Dr
Laramie, WY 82070
Phone (307) 745-8851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420000930 NM Practitioner - Physical Therapist in Private Practice 6103018890 Reassigns benefits to 1 organization
Practice locations: Silver City, NM

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Bone and Joint Institute, PCGroup PAC ID 5890717508, 8 clinicians

Practice addresses (Care Compare)

1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT547WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Bone and Joint Institute PC CurrentSince Jul 10, 2023 Accepting new patients
Southwest Bone and Joint Institute PC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients

Locations

1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919

Interoperability endpoints

  • Direct secure messaging: martha@dspt-nm.direct.office.nextgen.com

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1710967666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 VISTA DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82070",
            "telephone_number": "307-745-8851",
            "fax_number": "307-742-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 VISTA DR",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82070",
            "telephone_number": "307-745-8851",
            "fax_number": "307-742-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ DELRIO",
        "first_name": "MARTHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.