Active NPI
Martha Iglehart
- Massage Therapist
- Austin, TX
National Provider Identifier
1073710232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT046286
- Practice address
- 4219 Iriona BND
Austin, TX 78749-4914 - Phone
- (512) 282-2559
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT046286 | TX | Primary |
Addresses
Primary practice location
4219 Iriona BND
Austin, TX 78749-4914
Mailing address
4219 Iriona BND
Austin, TX 78749-4914
Phone (512) 282-2559
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT046286 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073710232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 IRIONA BND",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494914",
"telephone_number": "512-282-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4219 IRIONA BND",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787494914",
"telephone_number": "512-282-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLEHART",
"first_name": "MARTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT046286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.