Organization Active NPI

Michael Martines Physical Therapist,

Doing business as Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Fresno, CA
National Provider Identifier
1841517026
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT32442 Issued in CA
Legal business name
MICHAEL MARTINES PHYSICAL THERAPIST,
Doing business as
Advanced Physical Therapy
Practice address
6710 N West Ave Ste 101
Fresno, CA 93711-4300
Phone
(559) 439-2002
Fax
(559) 439-2266
NPI assigned
Apr 27, 2010
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Mr. Michael Raymond Martines, P.T.NPI 1619900503
Title
President
Phone
(559) 439-2002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT32442 CA Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

6710 N West Ave Ste 101
Fresno, CA 93711-4300

Mailing address

6710 N West Ave Ste 101
Fresno, CA 93711-4300
Phone (559) 439-2002

Other practice location 1

7080 N Maple Ave Ste 101
Fresno, CA 93720-8003
Phone (559) 326-5580

Other names 1

  • Advanced Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmartinespt@advancedptfresno.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111004000153 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244402857 Receives reassigned benefits from 3 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

6710 N West Ave
Ste 101
Fresno, CA 93711
Phone (559) 439-2002

6780 N West Ave
Ste 103
Fresno, CA 93711
Phone (559) 439-2002

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1841517026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 N WEST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114300",
            "telephone_number": "559-439-2002",
            "fax_number": "559-439-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N WEST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114300",
            "telephone_number": "559-439-2002",
            "fax_number": "559-439-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7080 N Maple Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937208003",
            "country_code": "US",
            "telephone_number": "559-326-5580",
            "fax_number": "559-326-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL MARTINES PHYSICAL THERAPIST,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2024-06-04",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MARTINES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-439-2002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT32442",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmartinespt@advancedptfresno.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6710 N West Ave Ste 101",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937114300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.