Individual provider Active NPI

Corina M Martinez, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1982830527
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10618 Issued in NC
Practice address
1108 Dresser CT
Suite 201B
Raleigh, NC 27609-7328
Phone
(919) 876-8302
Fax
(919) 954-8706
NPI assigned
Jun 10, 2009
Last updated
Jun 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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 10618 NC Primary

Addresses

Primary practice location

1108 Dresser CT
Suite 201B
Raleigh, NC 27609-7328

Mailing address

1108 Dresser CT
Suite 201B
Raleigh, NC 27609-7328
Phone (919) 876-8302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000601 NC Practitioner - Physical Therapist in Private Practice 0446303382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10618NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Jan 29, 2019 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 29, 2019 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

501 Douglas St
Durham, NC 27705
Phone (800) 235-3853

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

1108 Dresser Ct
Ste 201B
Raleigh, NC 27609
Phone (919) 876-8302

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1982830527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 DRESSER CT",
            "address_2": "SUITE 201B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097328",
            "telephone_number": "919-876-8302",
            "fax_number": "919-954-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 DRESSER CT",
            "address_2": "SUITE 201B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097328",
            "telephone_number": "919-876-8302",
            "fax_number": "919-954-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CORINA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.