Provider Demographics
NPI:1699562876
Name:MARTINEZ, GABRIELLA NICOLE (DPT)
Entity type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:NICOLE
Last Name:MARTINEZ
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:GABY
Other - Middle Name:NICOLE
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:4730 MANSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8731
Mailing Address - Country:US
Mailing Address - Phone:956-247-1497
Mailing Address - Fax:
Practice Address - Street 1:19411 MCKAY DR STE 300
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5713
Practice Address - Country:US
Practice Address - Phone:281-446-2680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics