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

Marissa Martinez

Individual provider Physical Therapist · NPI 1093360737

Marissa Martinez is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2019, 7 years ago. Practices with Mdm Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

7205 E Southern Ave Ste 111
Mesa, AZ 85209-2791
Phone: (480) 832-9308
Fax: (480) 807-1782
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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 LPT-30819 (AZ)

Record details

NPI number1093360737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address7205 E Southern Ave, Ste 111, Mesa, AZ 85209-2791

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mdm Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa