Individual provider Active NPI

Jesse Martir, PTA

  • Physical Therapy Assistant
  • Davie, FL
National Provider Identifier
1942979927
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA29005 Issued in FL
Practice address
5850 S Pine Island Rd
Davie, FL 33328-5933
Phone
(954) 800-5826
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA29005 FL Primary

Addresses

Primary practice location

5850 S Pine Island Rd
Davie, FL 33328-5933

Mailing address

5850 S Pine Island Rd
Davie, FL 33328-5933
Phone (786) 583-8591

Other practice location 1

3183 SW 38th Ct
Miami, FL 33146-1528
Phone (305) 501-0231

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

LicenseStateTypeSpecialty
PTA29005FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1942979927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285933",
            "telephone_number": "786-583-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285933",
            "telephone_number": "954-800-5826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3183 SW 38th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331461528",
            "country_code": "US",
            "telephone_number": "305-501-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIR",
        "first_name": "JESSE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.