Katrina Elizabeth Martinez

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT01506500 Issued in NJ

Practice address

221 W Grand Ave Ste 201
Montvale, NJ 07645-1729

Phone

(845) 694-7570

Fax

(845) 212-2730

NPI assigned

Nov 9, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Empire Physical Medicine

  • Interventional Pain Medicine Physician
  • Montvale, NJ
  • NPI 1518798511

  Massage Therapist

  NPD

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1295559904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HERDMAN ST",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931408",
            "telephone_number": "646-737-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W GRAND AVE STE 201",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451729",
            "telephone_number": "845-694-7570",
            "fax_number": "845-212-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KATRINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01506500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Mandel, MD
• Rosita Kamille Manohar, AGNP
• Cheryl M Marcus-Podhaizer, DDS
• Richard A. Marini, R.PH.
• Mark Sherman MD PA
• Samantha Lynn Mastrocola, PA
• Rosa Mastrogiacomo, LMSW
• Reena Varghese Mathen, APN
• Michelle S Mayer, MD
• Mariah O Mayers Wynn, LAC

• Massage Therapist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.