Active NPI
Martine Miner, L.M.T., NCTMB
- Mechanotherapist
- Wrentham, MA
National Provider Identifier
1073728416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 426016-00
- Practice address
- 844 Franklin St
Unit 9
Wrentham, MA 02093-1223 - Phone
- (508) 384-3436
- Fax
- (508) 384-7336
- NPI assigned
- May 11, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 426016-00 | MA | Primary |
Addresses
Primary practice location
844 Franklin St
Unit 9
Wrentham, MA 02093-1223
Mailing address
12 Kenney LN
North Attleboro, MA 02760-4147
Phone (508) 643-0480
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 |
|---|---|---|---|
| 426016-00 | MA | MD | Mechanotherapist |
Interoperability endpoints
- https://api.platform.athenahealth.com/8816/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073728416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 KENNEY LN",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027604147",
"telephone_number": "508-643-0480",
"fax_number": "508-384-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 FRANKLIN ST",
"address_2": "UNIT 9",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "020931223",
"telephone_number": "508-384-3436",
"fax_number": "508-384-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "MARTINE",
"name_prefix": "Ms.",
"credential": "L.M.T., NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "MA",
"license": "426016-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wrentham, MA
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.