Adeline Jade Martin

Key facts

NPI

1093437352

Entity type

Individual (NPI type 1)

Primary specialty

Massage Therapist 225700000X

License

27092 (OR)

Practice address

314 E Main St
Talent, OR 97540

Phone

(541) 210-5999

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Body in Context Massage Therapist · Talent, OR · NPI 1356826960
  NPD MASSAGE THERAPIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2022.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1093437352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 FOX ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209311",
            "telephone_number": "757-469-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "97540",
            "telephone_number": "541-210-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ADELINE",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "27092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talent, OR

• Michele Levin, O.T.
• Amanda L Lewis, PA-C
• Stephen Lovich, M.D.
• Mallory Brett Lynch, PH.D.
• Terise Jane Manich, LMT LICENSED MASSAGE
• Linda A McGrath, RN
• Demaris McNamara, LMT
• Mehdi L. Ghavam, D.M.D. L.L.C.
• Middleway Medicine
• Cynthia Chance Miles, RN

All providers in Talent, OR · Massage Therapist in Oregon