Heather Elaine Martine, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8361 Issued in CA

Practice address

600 Sunrise Ave
Roseville, CA 95661-4110

Phone

(916) 782-3131

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Heather Elaine Tannehill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1740679133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 LAKE FOREST DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263077",
            "telephone_number": "530-227-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNRISE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614110",
            "telephone_number": "916-782-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINE",
        "first_name": "HEATHER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "8361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "TANNEHILL",
            "middle_name": "ELAINE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brett Martin, D.D.S
• Diane M Martin, MFT
• Julia Faith Louise Martin, BIRTH DOULA
• Samuel Martin
• W Randy Martin, M.D.
• Mary Martineau, MS
• Lori Martinez-Rubio
• Abigail Adrienne Martinez, M.A./AMFT
• Alyssa Ann Martinez, LMFT
• Amarantha Martinez

• Physical Therapy Assistant in Roseville, CA
• Providers in Roseville, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.