Individual provider Active NPI

William J Martinez, P.T.

  • Physical Therapist
  • Elk Grove, CA
National Provider Identifier
1962509299
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16670 Issued in CA
Practice address
9381 E. Stockton Blvd.
Suite 108
Elk Grove, CA 95624
Phone
(916) 686-5070
Fax
(916) 686-5077
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 16670 CA Primary

Addresses

Primary practice location

9381 E. Stockton Blvd.
Suite 108
Elk Grove, CA 95624

Mailing address

9381 E. Stockton Blvd.
Suite 108
Elk Grove, CA 95624
Phone (916) 686-5070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000186 CA Practitioner - Physical Therapist in Private Practice 1951331107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

708 57TH St
Sacramento, CA 95819-3325
Phone (916) 457-7427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 16670CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients
Alves & Martinez Physical Therapy and Athletic Performance Physical Therapist CurrentSince Oct 1, 2001 Accepting new patients

Locations

9381 E Stockton Blvd
Ste 108
Elk Grove, CA 95624
Phone (916) 686-5070

4341 Piedmont Ave
Ste 103
Oakland, CA 94611
Phone (510) 547-1630

708 57th St
Sacramento, CA 95819
Phone (916) 457-7171

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962509299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 E. STOCKTON BLVD.",
            "address_2": "SUITE 108",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-686-5070",
            "fax_number": "916-686-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E. STOCKTON BLVD.",
            "address_2": "SUITE 108",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-686-5070",
            "fax_number": "916-686-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 16670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.