AMANDA MARYELLEN MARTIN (PT, DPT) – Physical Therapist, NPI 1316210933

AMANDA MARYELLEN MARTIN (PT, DPT) is a healthcare provider. based in San marcos, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT 38573 (CA). The NPI Number for AMANDA MARYELLEN MARTIN (PT, DPT) is 1316210933

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARYELLEN MARTIN (PT, DPT)
NPI
1316210933
Phone
(760) 750-1902
Address
277 Rancheros Dr Ste 150
Enumeration Date
13 February 2012
Last Update Date
23 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607501902
Graduation Year
2011 (15 years ago)
PAC ID
4587828785
Group Practice PAC ID
5597027581
Professional Enrollment ID
I20120620000417
Address ID
CA920692976SA277XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for AMANDA MARYELLEN MARTIN (PT, DPT)

  • 277 Rancheros Dr Ste 150

    San Marcos, CA 920692976

    Phone: (760) 750-1902

    Fax: (760) 750-1906

    Type: Location

  • 24630 WASHINGTON AVE

    SUITE 200

    MURRIETA, CA 925626177

    Phone: (951) 696-9353

    Fax: (951) 973-7216

    Type: Mailing

  • 521 E ELDER ST

    SUITE 106

    FALLBROOK, CA 920283081

    Phone: (760) 723-8337

    Fax: (760) 723-5476

    Type: Location

  • 23100 EUCALYPTUS AVE STE C

    MORENO VALLEY, CA 925535439

    Phone: (951) 379-1500

    Fax: (951) 379-1501

    Type: Mailing

  • 32605 TEMECULA PKWY STE 103

    TEMECULA, CA 925926838

    Phone: (951) 331-3660

    Fax: (951) 331-3661

    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: 2012-06-20

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
I20120620000417IPhysical Therapist In Private PracticeCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes44416$0
97535Training for self-care or home management, each 15 minutes7318$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3611$0
97161Evaluation for physical therapy, typically 20 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 92069)

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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: 5597027581View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is AMANDA MARYELLEN MARTIN (PT, DPT)'s NPI number?
AMANDA MARYELLEN MARTIN (PT, DPT)'s NPI is 1316210933 — the number used across U.S. healthcare to identify this provider.
Would AMANDA MARYELLEN MARTIN (PT, DPT) appear as active to a payer?
You can treat AMANDA MARYELLEN MARTIN (PT, DPT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is AMANDA MARYELLEN MARTIN (PT, DPT)?
AMANDA MARYELLEN MARTIN (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA MARYELLEN MARTIN (PT, DPT)?
Travel planning: use San Marcos, California as the reference point for AMANDA MARYELLEN MARTIN (PT, DPT), then confirm.
Can I trust this NPI listing for AMANDA MARYELLEN MARTIN (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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