MARTIN JR MARQUEZ MERINO (PT, DPT) – Physical Therapist, NPI 1003605684

MARTIN JR MARQUEZ MERINO (PT, DPT) is a healthcare provider. based in Ventura, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for MARTIN JR MARQUEZ MERINO (PT, DPT) is 1003605684

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN JR MARQUEZ MERINO (PT, DPT)
NPI
1003605684
Phone
Not provided
Address
409 CROCKER AVE
Enumeration Date
1 May 2025
Last Update Date
13 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3035469201
Graduation Year
2023 (3 years ago)
PAC ID
4183119993
Group Practice PAC ID
9638227200
Professional Enrollment ID
I20251219000098
Address ID
CO803011026BO1800XSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness85
Years active:1State licenses:0Digital endpointsOther names

2,986 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for MARTIN JR MARQUEZ MERINO (PT, DPT)

  • 409 CROCKER AVE

    VENTURA, CA 930041528

    Phone:

    Type: Mailing

  • 1800 30TH ST STE 215

    BOULDER, CO 803011087

    Phone: (303) 546-9201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251219000098IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638227200View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
-CO
-CA
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO

Reviews

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Frequently asked questions

How do payers reference MARTIN JR MARQUEZ MERINO (PT, DPT)?
For MARTIN JR MARQUEZ MERINO (PT, DPT), use NPI 1003605684 as the unique 10-digit identifier.
Active or inactive — what applies to MARTIN JR MARQUEZ MERINO (PT, DPT)?
You should see MARTIN JR MARQUEZ MERINO (PT, DPT) as active in CMS-hosted NPPES data.
What expertise is attributed to MARTIN JR MARQUEZ MERINO (PT, DPT)?
MARTIN JR MARQUEZ MERINO (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MARTIN JR MARQUEZ MERINO (PT, DPT)?
Directory geography for MARTIN JR MARQUEZ MERINO (PT, DPT) centers on Ventura, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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