Martes Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017574 Issued in NY

Legal business name

MARTES PHYSICAL THERAPY PC

Practice address

3747 77TH St
Jackson Heights, NY 11372-6629

Phone

(718) 406-9588

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Edgardo Rafael Martes, PHYSICAL THERAPISTNPI 1952570749

Title

Owner

Phone

(347) 924-2771

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgardo Rafael Martes, PT CKTP

  • Physical Therapist
  • Astoria, NY
  • NPI 1952570749
  NPD Authorized official

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1801302435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 NEWTOWN AVE STE 211",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726629",
            "telephone_number": "718-406-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTES PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "MARTES",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-924-2771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Marks, LCSW
• David Antonio Marroquin
• Frederick Algenis Marte, LMSW
• Jasmine Marte, DDS
• Tania V Martell Soliz, LMT
• Amanda Ines Martin, LMSW
• Lauren Nicole Martin, M.A.
• Nadia A Martinez de Pimentel, M.D.
• Alexis Rebecca Martinez-Ortiz
• Maria Mercedes Martinez

• Physical Therapist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.