Individual provider Active NPI

Ricardo Juan Martinez, LMT

  • Massage Therapist
  • Westhampton Beach, NY
National Provider Identifier
1184489254
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032655-01 Issued in NY
Practice address
41 Sunset Ave # 11978
Westhampton Beach, NY 11978-2323
Phone
(631) 288-5588
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 032655-01 NY Primary

Addresses

Primary practice location

41 Sunset Ave # 11978
Westhampton Beach, NY 11978-2323

Mailing address

187 Brookfield Ave
Center Moriches, NY 11934-2101
Phone (631) 506-9677

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

LicenseStateTypeSpecialty
032655-01NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taom LLC Massage Therapist CurrentSince Feb 25, 2024 Accepting new patients

Locations

41 Sunset Ave
Westhampton Beach, NY 11978
Phone (631) 288-5588

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1184489254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BROOKFIELD AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119342101",
            "telephone_number": "631-506-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SUNSET AVE # 11978",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782323",
            "telephone_number": "631-288-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RICARDO",
        "middle_name": "JUAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032655-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.