Active NPI
Tara Martinez, DPT
- Physical Therapist
- Monterey Park, CA
National Provider Identifier
1750784591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35043
- Practice address
- 880 S Atlantic Blvd
Suite 203
Monterey Park, CA 91754-4700 - Phone
- (626) 282-3577
- Fax
- (626) 284-4276
- NPI assigned
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 35043 | CA | Primary |
Addresses
Primary practice location
880 S Atlantic Blvd
Suite 203
Monterey Park, CA 91754-4700
Mailing address
880 S Atlantic Blvd
Suite 203
Monterey Park, CA 91754-4700
Phone (626) 282-3577
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 |
|---|---|---|---|
| PT 35043 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Sports Therapy Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Monterey Park, CA
- NPI 1174556971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1750784591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 S ATLANTIC BLVD",
"address_2": "SUITE 203",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544700",
"telephone_number": "626-282-3577",
"fax_number": "626-284-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S ATLANTIC BLVD",
"address_2": "SUITE 203",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544700",
"telephone_number": "626-282-3577",
"fax_number": "626-284-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "TARA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.