Individual provider Active NPI

Hazel Marthe, PT

  • Physical Therapist
  • Miami Gardens, FL
National Provider Identifier
1730115635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13739 Issued in FL
Practice address
18300 NW 62ND Ave
Suite 210
Miami Gardens, FL 33015-8200
Phone
(305) 474-4960
Fax
(305) 474-4962
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT13739 FL Primary

Addresses

Primary practice location

18300 NW 62ND Ave
Suite 210
Miami Gardens, FL 33015-8200

Mailing address

11696 SW 19TH St
Miramar, FL 33025-5610
Phone (954) 438-9743

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT13739FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730115635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11696 SW 19TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255610",
            "telephone_number": "954-438-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE",
            "address_2": "SUITE 210",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330158200",
            "telephone_number": "305-474-4960",
            "fax_number": "305-474-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTHE",
        "first_name": "HAZEL",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT13739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.