Individual provider · Type 1 NPI

Gregory Luis Martin, PTA

Physical Therapy Assistant · San Diego, CA

NPI number 1912450891 Active

Practice location

4060 Fourth Ave Ste 206
San Diego, CA 92103-2120

Mailing address

1812 Reed Ave
San Diego, CA 92109-5476

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT 10877 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1912450891

Gregory Luis Martin, PTA's National Provider Identifier is 1912450891, issued on Jul 27, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Jul 27, 2016.