Individual provider Active NPI

Martin Silveroux, L.M.T

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1225739717
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA.61402584 Issued in WA
Practice address
2617 S 365TH PL
Federal Way, WA 98003-7149
Phone
(206) 800-9500
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA.61402584 WA Primary

Addresses

Primary practice location

2617 S 365TH PL
Federal Way, WA 98003-7149

Mailing address

2617 S 365TH PL
Federal Way, WA 98003-7149
Phone (206) 800-9500

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
MA.61402584WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Whole Health at Southport PastSince Mar 1, 2023 Accepting new patients
Namayaste Wellness LLC Massage Therapist PastSince Nov 26, 2023 Accepting new patients

Organizations & group practices 2

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1225739717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 S 365TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037149",
            "telephone_number": "206-800-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 S 365TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037149",
            "telephone_number": "206-800-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEROUX",
        "first_name": "MARTIN",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA.61402584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.