Active NPI
Todd J Martin, PT
- Physical Medicine & Rehabilitation Physician
- Santa Maria, CA
National Provider Identifier
1902876121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT13314
- Practice address
- 820 E Enos Dr
Santa Maria, CA 93454 - Phone
- (805) 928-8257
- Fax
- (805) 349-7206
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | PT13314 | CA | Primary |
Addresses
Primary practice location
820 E Enos Dr
Santa Maria, CA 93454
Mailing address
820 E Enos Dr
Santa Maria, CA 93454
Phone (805) 928-8257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 E Enos Dr
Santa Maria, CA 93454-7295
Phone (805) 928-8257
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13314 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Maria Valley Physical Therapy Group, Inc. | Current | Accepting new patients |
Locations
820 E Enos Dr
Santa Maria, CA 93454
Phone (805) 928-8257
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.
-
- Physical Therapist
- Santa Maria, CA
- NPI 1548260367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1902876121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 E ENOS DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-928-8257",
"fax_number": "805-349-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 E ENOS DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-928-8257",
"fax_number": "805-349-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TODD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT13314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.