Judith Tia Martin, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60491363 Issued in WA

Practice address

751 NE Blakely Dr
Suite 3020
Issaquah, WA 98029-6201

Phone

(253) 377-8933

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highline Physical Therapy Group

  • Multi-Specialty Clinic/Center
  • Burien, WA
  • NPI 1093876898

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1083029342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28611 6TH PL S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981988230",
            "telephone_number": "253-377-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE BLAKELY DR",
            "address_2": "SUITE 3020",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296201",
            "telephone_number": "253-377-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JUDITH",
        "middle_name": "TIA",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60491363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Brandon Mark, PT, DPT
• Sophia Louise Marks, CBT
• Lupine Marshak, MA
• Courtney Nowlin Martin, M.S., CCC-SLP
• Craig P. Martin, PA-C
• Kathryn R. Martin, PA-C
• Kelly Kathleen Martin, MD
• Mya Martin
• Olivia Martin, M.S. CCC-SLP
• Sarah Vivian Martin, CNM, ARNP, DNP

• All providers in Issaquah, WA
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.