Lisa Martinez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9722 Issued in MN

Practice address

1715 Tower Dr W Ste 330
Lakeview Homecare & Hospice
Stillwater, MN 55082-7608

Phone

(651) 430-3320

NPI assigned

Aug 20, 2014

Last updated

Aug 20, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeview Memorial Hospital Association Inc

  dba Lakeview Outpatient Pharmacy

  • Pharmacy
  • Stillwater, MN
  • NPI 1326124454
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1871992354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 4TH ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031159",
            "telephone_number": "702-400-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 TOWER DR W STE 330",
            "address_2": "LAKEVIEW HOMECARE & HOSPICE",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827608",
            "telephone_number": "651-430-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Maresh, DPT
• Christine Kay Markus, M.D.
• Jessica Rae Marquardt, AUD
• Rachel Marshall, M.S., CCC-SLP
• Marissa Martin
• Maria S Marzitelli, CRT
• Nicole Massey, FNP
• Jennifer R Mathews, BA
• Eric W Mattson
• Elizabeth Mau, M.S., L.P.

• Physical Therapist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.