Active NPI
Daniel Martinez
- Physical Therapy Assistant
- Las Vegas, NM
National Provider Identifier
1912868589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-1275
- Practice address
- 3695 Hot Springs Blvd
Las Vegas, NM 87701-9549 - Phone
- (505) 454-2100
- NPI assigned
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA-1275 | NM | Primary |
Addresses
Primary practice location
3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Mailing address
806 Mora St
Las Vegas, NM 87701-3691
Phone (575) 519-0806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-1275 | NM | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1912868589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 MORA ST",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013691",
"telephone_number": "575-519-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3695 HOT SPRINGS BLVD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019549",
"telephone_number": "505-454-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-25",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "NM",
"license": "PTA-1275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.