Jezille Martinez

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

PT018011 Issued in PA

Legal business name

JEZILLE MARTINEZ

Practice address

1622 Sparrow Way
Bensalem, PA 19020-4416

Phone

(267) 239-3780

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jezille Martinez, PT, DPTNPI 1861802894

Title

Physical Therapist

Phone

(267) 239-3780

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, and the practitioner matching its NPPES authorized official.

• Jezille Martinez

  • Pediatric Physical Therapist
  • Bensalem, PA
  • NPI 1861802894
  NPD (past) Authorized official

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1811316581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SPARROW WAY",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204416",
            "telephone_number": "267-239-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SPARROW WAY",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204416",
            "telephone_number": "267-239-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEZILLE MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JEZILLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "267-239-3780",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "PT018011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Acute Care Physicians, PC
• Jemilex, Inc (101 Mobility of Greater Philadelphia)
• Amber Jenkins, LPC
• Donna Jenkins, LPC
• Jerome H. Horowitz, M.D.,P.C. (Torresdale Pediatrics)
• John F. Stasik, DMD, PC
• Montel Johnson-Troupe
• Robert Lawrence Jones, RPH
• Joseph E. Kepko D.O., P.C.
• Tinto Joseph, PTA, MBA

• Early Intervention Provider Agency in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.