Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeandra S Martin, PT

Individual provider Physical Therapist · NPI 1215409974

Jeandra S Martin, PT is a Physical Therapist in Private Practice in Rialto, California. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082
Phone: (909) 258-2220
Fax: (909) 258-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT295851 (CA)

Record details

NPI number1215409974
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 19, 2018
Last updated in NPPESAugust 21, 2020
Certification dateAugust 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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