MR. RUDY MARTIN (PT) – Physical Therapist, NPI 1639424641

MR. RUDY MARTIN (PT) is a healthcare provider. based in Costa mesa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 39085 (CA). The NPI Number for MR. RUDY MARTIN (PT) is 1639424641

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. RUDY MARTIN (PT)
NPI
1639424641
Phone
(949) 244-8328
Address
2311 ELDEN AVE APT 24
Enumeration Date
16 July 2012
Last Update Date
16 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7147717047
Graduation Year
2011 (15 years ago)
PAC ID
4284881590
Group Practice PAC ID
4587832431
Professional Enrollment ID
I20120821000865
Address ID
CA928671700OR2854XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MR. RUDY MARTIN (PT)

  • 2311 ELDEN AVE APT 24

    COSTA MESA, CA 926271590

    Phone: (949) 244-8328

    Type: Mailing

  • 6131 ORANGETHORPE AVE STE 135

    BUENA PARK, CA 906204901

    Phone: (714) 523-3822

    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: 2012-08-21

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
I20120821000865IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4,000136$0
97140Therapy procedure using manual technique, each 15 minutes3,322128$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36315$0
97116Therapy procedure for walking training, each 15 minutes30725$0
97161Evaluation for physical therapy, typically 20 minutes9380$0
View full utilization report →

Insurance plans in this area (ZIP 92627)

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Provider's Procedures

MR. RUDY MARTIN (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation5852
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2152104
PHYSICAL THERAPYCA97535Self-care or home management training, each 15 minutes2116

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: 4587832431View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference MR. RUDY MARTIN (PT)?
For MR. RUDY MARTIN (PT), use NPI 1639424641 as the unique 10-digit identifier.
Is MR. RUDY MARTIN (PT) shown as active in public data?
Registry records indicate MR. RUDY MARTIN (PT) maintains an active NPI.
What clinical focus is listed for MR. RUDY MARTIN (PT)?
At a glance, MR. RUDY MARTIN (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. RUDY MARTIN (PT) associated with Costa Mesa?
Public fields place MR. RUDY MARTIN (PT) around Costa Mesa, California. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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