Active NPI
Wendy Ann Martin, LMT
- Massage Therapist
- Eugene, OR
National Provider Identifier
1336596618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21809
- Practice address
- 1034 Lawrence St.
Eugene, OR 97401 - Phone
- (541) 227-1810
- Fax
- (541) 304-2211
- NPI assigned
- May 17, 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 | 21809 | OR | Primary |
Addresses
Primary practice location
1034 Lawrence St.
Eugene, OR 97401
Mailing address
1034 Lawrence St.
Eugene, OR 97401
Phone (541) 227-1810
Other names 1
- Wendy Ann Martin Maris
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 |
|---|---|---|---|
| 21809 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1336596618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 LAWRENCE ST.",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-227-1810",
"fax_number": "541-304-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 LAWRENCE ST.",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-227-1810",
"fax_number": "541-304-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "WENDY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "21809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "MARIS",
"middle_name": "ANN MARTIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.