Provider Demographics
NPI:1417139536
Name:SOLOMON, MARTA (MSPT)
Entity Type:Individual
Prefix:MS
First Name:MARTA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 NOGALITOS
Mailing Address - Street 2:STE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78225-2336
Mailing Address - Country:US
Mailing Address - Phone:210-534-7953
Mailing Address - Fax:210-534-6695
Practice Address - Street 1:3110 NOGALITOS
Practice Address - Street 2:STE 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78225-2336
Practice Address - Country:US
Practice Address - Phone:210-534-7953
Practice Address - Fax:210-534-6695
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1061547225100000X, 2251G0304X, 225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics