NICOLLE MARIE MARTIN (NPI# 1073015913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073015913 |
| Entity Type | Individual |
| Full Name | NICOLLE MARIE MARTIN |
| Credential | DPT |
| Practice Address |
405 E Esplanade Dr Ste 102 Oxnard CA 93036-2179 |
| Mailing Address |
223 Via Mirabella Apt C Newbury Park CA 91320-7307 |
| Practice Telephone | 6614767929 |
| Practice Fax Number | 8058301777 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
294041 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154597946 | Nicolle Venetta Martin | Preventive Medicine | 720 Westview Dr Sw, Ncpc 339, Atlanta, GA 30310-1458 | 2008-05-01 |
| Street Address |
405 E ESPLANADE DR STE 102 |
| City | OXNARD |
| State | CA |
| Zip Code | 93036-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326411067 | Amigo Baby Inc | Clinic/Center | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2015-11-03 |
| 1912406018 | Brooke Gauvin | Physical Therapist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2018-02-05 |
| 1720507049 | Alvaro Alberto Castro | Specialist/Technologist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2017-09-18 |
| 1568988053 | Emily Alexis Ecklund | Occupational Therapist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2017-08-16 |
| 1780117002 | Amy Bowen | Speech-Language Pathologist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2017-04-04 |
| 1851833412 | Narwon Rahimi | Occupational Therapist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2016-11-14 |
| 1144678640 | Gregory Horton | Physical Therapist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1760021810 | Tiffany Anne Eyestonhe | Counselor | 1911 Wiiliams Drive, Star Program, Oxnard, CA 93036 | 2020-01-06 |
| 1356903579 | Usman Khan | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive Suite 200, Oxnard, CA 93036 | 2019-07-08 |
| 1689236937 | Benjamin Jonathan Ponce | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive, Suite 200, Oxnard, CA 93036 | 2019-07-07 |
| 1194296806 | Ezequiel Armando Sanchez | Counselor | 1911 Williams Drive Star Program, Oxnard, CA 93036 | 2018-12-07 |
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1023586443 | Reylene Carmen Sanchez | Counselor | 2755 Yearling Place, Oxnard, CA 93036 | 2018-11-02 |
| 1689157117 | For Eyes Optical Co. of California | Eyewear Supplier (Equipment, not the service) | 2820 Portico Way, Suite 1110, Oxnard, CA 93036 | 2018-09-11 |
| 1518445113 | Heather Christian Byhoffer | Marriage & Family Therapist | 1261 W. Gonzales Rd., Oxnard, CA 93036 | 2018-08-06 |
| 1477045110 | Dr. Jeffrey A. Saladin, Dental Corp | Dentist | 2100 Solar Drive, Suite 200, Oxnard, CA 93036 | 2018-05-30 |
| Find all providers in zip 93036 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164961488 | Heather Sherman | Physical Therapist | 405 E Esplanade Dt, Oxnard, CA 93036 | 2017-02-20 |
| 1912406018 | Brooke Gauvin | Physical Therapist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2018-02-05 |
| 1144678640 | Gregory Horton | Physical Therapist | 405 E Esplanade Dr Ste 102, Oxnard, CA 93036-2179 | 2016-05-25 |
| 1851762850 | Mahalaxmi Kasula | Physical Therapist | 405 E Esplanade Dr, Suite 102, Oxnard, CA 93036-2114 | 2015-10-15 |
| 1730293143 | Laurell Mauro | Physical Therapist | 2240 E Gonzales Rd, Ste. 260, Oxnard, CA 93036-8210 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.