Individual provider Active NPI

Jorge Isaac Martinez Huerta, LMT, CNMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1003317397
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0018844 Issued in CO
Practice address
487 Windchime PL Ste 314
Colorado Springs, CO 80919-1933
Phone
(719) 377-7299
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0018844 CO Primary

Addresses

Primary practice location

487 Windchime PL Ste 314
Colorado Springs, CO 80919-1933

Mailing address

1903 Alpine Dr
Colorado Springs, CO 80909-2117
Phone (719) 377-7299

Other practice location 1

2524 W Colorado Ave Ste 202
Colorado Springs, CO 80904-6016
Phone (719) 377-7299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT.0018844COMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1003317397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ALPINE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092117",
            "telephone_number": "719-377-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 WINDCHIME PL STE 314",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191933",
            "telephone_number": "719-377-7299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 W Colorado Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809046016",
            "country_code": "US",
            "telephone_number": "719-377-7299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ HUERTA",
        "first_name": "JORGE",
        "middle_name": "ISAAC",
        "credential": "LMT, CNMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0018844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.