Active NPI
Audra Martinez, LMT, CMMP
- Massage Therapist
- Thornton, CO
National Provider Identifier
1225588635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 799
- Practice address
- 11325 Colorado Blvd
Thornton, CO 80233-2601 - Phone
- (303) 457-2022
- NPI assigned
- Oct 10, 2016
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 799 | CO | Primary |
Addresses
Primary practice location
11325 Colorado Blvd
Thornton, CO 80233-2601
Mailing address
16033 E 96TH Way
Commerce City, CO 80022-9100
Phone (303) 919-4104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 799 | Other | CO | DORA: LICENSED MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 799 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1225588635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16033 E 96TH WAY",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800229100",
"telephone_number": "303-919-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 COLORADO BLVD",
"city": "THORNTON",
"state": "CO",
"postal_code": "802332601",
"telephone_number": "303-457-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AUDRA",
"credential": "LMT, CMMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "799",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORA: LICENSED MASSAGE THERAPIST",
"identifier": "799",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.