Individual provider Active NPI

Simon Daniel Martin-Hurtado

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1336720556
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
73337 Issued in CA
Practice address
728 S 320TH St Ste G
Federal Way, WA 98003-5255
Phone
(206) 793-3185
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 73337 CA Primary

Addresses

Primary practice location

728 S 320TH St Ste G
Federal Way, WA 98003-5255

Mailing address

9210 S Hosmer St # 14
Tacoma, WA 98444-6885

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
Credentials
Master of Theology

Practice roles

OrganizationSpecialtyStatusNew patients
Epic PT Health & Performance LLC CurrentSince Apr 30, 2023 Accepting new patients
Torres Chiropractic Medical Center, PS Massage Therapist PastSince Feb 27, 2022 Accepting new patients

Locations

728 S 320th St
Ste G
Federal Way, WA 98003
Phone (206) 212-6352

16515 Meridian E
Ste 202B
Puyallup, WA 98375
Phone (253) 466-3178

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1336720556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 S HOSMER ST # 14",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S 320TH ST STE G",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035255",
            "telephone_number": "206-793-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-HURTADO",
        "first_name": "SIMON",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "73337",
            "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 Apr 24, 2023; 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.