LEMUEL C & ELMEZEN MARTIN (NPI# 1477614741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477614741 |
| Entity Type | Organization |
| Organization Name | LEMUEL C & ELMEZEN MARTIN |
| Other Organization Name | QUAIL RUN PHYSICAL THERAPY |
| Practice Address |
422 Lakeport Blvd Lakeport CA 95453-5404 |
| Mailing Address |
Po Box 1560 Lakeport CA 95453-1560 |
| Practice Telephone | 7072636845 |
| Practice Fax Number | 7072636451 |
| Mailing Telephone | 7072636845 |
| Mailing Fax Number | 7072636451 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | MR. LEMUEL CAMPOMANES MARTIN (PHYSICAL THERAPIST OWNER) |
| Authorized Official Telephone | 7072636845 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT11399 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ06870Z | 01 |
| Other Name | Type Code |
|---|---|
| Quail Run Physical Therapy | Doing Business As Name - Organization |
| Street Address |
422 LAKEPORT BLVD |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346280 | Neal Benjamin Limited Liability Co | Physical Therapist | 4934 Terrace Ave, Lakeport, CA 95453-6131 | 2020-01-28 |
| 1386988970 | Lakeport Physical Therapy, Inc. | Physical Therapist | 381 Lakeport Blvd, Lakeport, CA 95453-5412 | 2012-11-20 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1184788531 | Matthew J. Garrean | Physical Therapist | 1281 Craig Ave, Lakeport, CA 95453-5704 | 2006-12-20 |
| 1083622039 | Lemuel Campomanes Martin | Physical Therapist | 1281 Craig Avenue, Lakeport, CA 95453 | 2006-08-04 |
| 1245295385 | Clear Lake Physical Therapy Inc | Physical Therapist | 1173 11th Street, Lakeport, CA 95453 | 2006-04-20 |
| 1164869400 | Aundrea Renee Tyner | Physical Therapist | 381 Lakeport Blvd, Lakeport, CA 95453-5412 | 2013-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962365 | Sydney Nicole Stuber | Physical Therapist | 5580 La Jolla Blvd # 486, La Jolla, CA 92037-7651 | 2020-11-06 |
| 1972104925 | Andrew Sungmin Lee | Physical Therapist | 21915 Hawaiian Ave Apt D, Hawaiian Gardens, CA 90716-6001 | 2020-11-05 |
| 1932700960 | David Eric Malachowski Onne | Physical Therapist | 140 Diamond Creek Pl Unit 125, Roseville, CA 95747-7188 | 2020-11-05 |
| 1427659564 | Iris Vivien Agcaoili Lucena | Physical Therapist | 1415 Heatherwood Ave, Chula Vista, CA 91913-2973 | 2020-11-04 |
| 1881295293 | Momentum Physical Therapy | Physical Therapist | 140 Litton Dr Ste 200, Grass Valley, CA 95945-5080 | 2020-11-03 |
| 1063012623 | Dhrutika Lunagariya | Physical Therapist | 401 Webster St, Palo Alto, CA 94301-1244 | 2020-10-31 |
| 1346840147 | Herbert Ashley Larsen | Physical Therapist | 24736 Daisy Ave, Loma Linda, CA 92354-3307 | 2020-10-30 |
| 1255931382 | Ansel Bjorn Schmidt | Physical Therapist | 4500 Gilbert St, Oakland, CA 94611-4657 | 2020-10-28 |
| 1487254827 | Hy Ia | Physical Therapist | 1516 S Sierra Vista Ave Apt C, Alhambra, CA 91801-5125 | 2020-10-26 |
| 1831798487 | Olivia Renee Johnston | Physical Therapist | 26072 Merit Cir Ste 119, Laguna Hills, CA 92653-7015 | 2020-10-23 |
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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.