Martha Martinez Delrio, PT
Individual provider Active NPI Physical Therapist · Laramie, WY
NPI 1710967666 · NPPES record last updated Jun 12, 2009
Key facts
- NPI
- 1710967666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT547 (WY)
- Practice address
- 1909 Vista Dr
Laramie, WY 82070 - Phone
- (307) 745-8851
- Fax
- (307) 742-0961
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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, PC
Practice addresses (Care Compare)
1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220420000930 | NM | Practitioner - Physical Therapist in Private Practice | 6103018890 |
Reassigns benefits to 1 organization Practice locations: Silver City, NM |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT547 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Bone and Joint Institute PC | Current |
Accepting new patients | |
| Southwest Bone and Joint Institute PC | Physical Therapist | Current |
Accepting new patients |
Locations
1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919
Interoperability endpoints
- martha@dspt-nm.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT547 | WY | Yes |
Addresses
Primary practice location
1909 Vista Dr
Laramie, WY 82070
Mailing address
1909 Vista Dr
Laramie, WY 82070
Phone (307) 745-8851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110598100 | Medicaid | WY | |
| 310761 | Other | BCBS | |
| 650024128 | Other | WY | RAILROAD MEDICARE |
Other providers in Laramie, WY
- Katrina S Martin
- Kristiana Martin
- Linda Gore Martin
- Randall Lee Martin
- Vicki Ann Martin
- Aleesha Martinez
- Angel Martinez
- Daniel Martinez
- Donald Jason Martinez
- Elizabeth Martinez
All providers in Laramie, WY · Physical Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.