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Charmaine Martin

Physical Therapist in Glendale, CA. Individual provider (NPI-1).

NPI number1871010389
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1871010389
Entity type
Individual (NPI-1)
Name
Charmaine Martin
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 25, 2017
Certification date
Dec 2, 2021
Last updated
Dec 2, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist293597CAYes

Practice location

500 W Glenoaks Blvd
Glendale, CA 91202-2813

Phone 818-637-2127

Mailing address

500 W Glenoaks Blvd
Glendale, CA 91202-2813

Phone 818-637-2127

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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