Individual provider Active NPI

Gremys Martin

  • Massage Therapist
  • Miami, FL
National Provider Identifier
1235435843
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 61626 Issued in FL
Practice address
4265 NW South Tamiami Canal Dr
Apt. 115
Miami, FL 33126-1481
Phone
(786) 715-6753
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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 61626 FL Primary

Addresses

Primary practice location

4265 NW South Tamiami Canal Dr
Apt. 115
Miami, FL 33126-1481

Mailing address

4343 W Flagler St
Suite 506
Coral Gables, FL 33134-1586
Phone (305) 446-7898

Other identifiers 1

IdentifierTypeStateIssuer
AC# 237878OtherFLSTATE OF FL DEPT. OF HEALTH DIVISION OF MEDIACAL QUALITY ASSURANCE

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 61626FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ache-Free Body, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1235435843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 W FLAGLER ST",
            "address_2": "SUITE 506",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341586",
            "telephone_number": "305-446-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 NW SOUTH TAMIAMI CANAL DR",
            "address_2": "APT. 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261481",
            "telephone_number": "786-715-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GREMYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 61626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL DEPT. OF HEALTH DIVISION OF MEDIACAL QUALITY ASSURANCE",
            "identifier": "AC# 237878",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.