Active NPI
Hazel Marthe, PT
- Physical Therapist
- Miami Gardens, FL
National Provider Identifier
1730115635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13739
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT13739 | FL | MD | Physical 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.