Provider Demographics
NPI:1164583605
Name:JOHN F. MARTINEZ INC
Entity Type:Organization
Organization Name:JOHN F. MARTINEZ INC
Other - Org Name:WEST HILLS PHYSICAL THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:503-474-3524
Mailing Address - Street 1:2200 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-5485
Mailing Address - Country:US
Mailing Address - Phone:503-474-3524
Mailing Address - Fax:503-474-1820
Practice Address - Street 1:2200 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-5485
Practice Address - Country:US
Practice Address - Phone:503-474-3524
Practice Address - Fax:503-474-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORP00245215Medicare PIN
ORR132559Medicare ID - Type UnspecifiedMEDICARE NUMBER