Therese Martin Overly, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT139919 Issued in TX

Practice address

2106 E Sonterra Blvd Ste 111
San Antonio, TX 78259-7608

Phone

(210) 313-9141

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tess Martin Overly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1134940794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16705 FALLEN TREE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472036",
            "telephone_number": "210-313-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E SONTERRA BLVD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597608",
            "telephone_number": "210-313-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18838 Stone Oak Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584179",
            "country_code": "US",
            "telephone_number": "210-315-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN OVERLY",
        "first_name": "THERESE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT139919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "MARTIN OVERLY",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martin G Garcia
• Martin G. Flores, M.D., P.a.
• Martin G. Garcia DDS PC
• Martin Home Care LLC
• Martin J. Wiesenthal, MD, PA
• Aldwin Enrique Catapang Martin, PHARMD, RPH
• Allison Marie Martin, MD
• Amber Dawn Martin, APRN, AGNP-C
• Amber L. Martin, LCSW
• Amoi C Martin

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.