Healthcare Provider Details

I. General information

NPI: 1619317658
Provider Name (Legal Business Name): FRANCISCO JAVIER MARTINEZ PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 07/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 W AVENUE K # 686
LANCASTER CA
93536-5229
US

IV. Provider business mailing address

2010 W AVENUE K # 686
LANCASTER CA
93536-5229
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-1999
  • Fax: 661-948-6699
Mailing address:
  • Phone: 661-948-1999
  • Fax: 661-948-6699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT17853
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License NumberPT17853
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT17853
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT17853
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: