Active NPI
Judith Maristela, PT
- Physical Therapist
- Martinsville, IN
National Provider Identifier
1720893241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05004776A
- Practice address
- 2209 John R Wooden Dr
Martinsville, IN 46151-1840 - Phone
- (765) 349-5194
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05004776A | IN | Primary |
Addresses
Primary practice location
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Mailing address
3360 Scramble Dr
Greenwood, IN 46143-9552
Phone (317) 997-2563
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 |
|---|---|---|---|
| 05004776A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1720893241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3360 SCRAMBLE DR",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439552",
"telephone_number": "317-997-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 JOHN R WOODEN DR",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511840",
"telephone_number": "765-349-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARISTELA",
"first_name": "JUDITH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05004776A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
- LPS Behavioral Health LLC
- LPS Behavioral Health LLC
- Magnolia Health Systems 57, LLC (Grand Valley Assisted Living Facility)
- Mainstreet Senior II, LLC (Grandview Health & Rehabilitation Center)
- Amanda Maners
- Mark H Rosenberg (Bluff Creek Family Dental)
- Martinsville Chiropractic Care, P.C.
- Martinsville Family Eye Care Center Inc.
- Martinsville Family Eye Care Center Inc.
- Martinsville Fire Department
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.