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NPI Code Detail

MEDICARE: DR. MICHAEL J MARTINEZ MSCDPT

MEDICARE: DR. MICHAEL J MARTINEZ MSCDPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT05279OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215017876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J MARTINEZ MSCDPT
Provider Business Mailing Address
First Line : PO BOX 378
Second Line :
City : SANDUSKY
State : OH
Zip : 44871-0378
Country : US
Telephone Number : 419-609-1112
Fax Number : 419-609-1123
Provider Business Practice Location Address
First Line : 2500 W STRUB RD STE 150
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-5488
Country : US
Telephone Number : 419-626-4162
Fax Number : 419-626-1268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/01/2016

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