Active NPI
Ana Martinez-Ruiz, LMT
- Massage Therapist
- Bolingbrook, IL
National Provider Identifier
1356129837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227018683
- Practice address
- 619 E Boughton Rd Ste 27
Bolingbrook, IL 60440-2486 - Phone
- (331) 452-4618
- NPI assigned
- Sep 18, 2023
- 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 | 227018683 | IL | Primary |
Addresses
Primary practice location
619 E Boughton Rd Ste 27
Bolingbrook, IL 60440-2486
Mailing address
221 Shady LN
Bolingbrook, IL 60440-1677
Phone (331) 452-4618
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 |
|---|---|---|---|
| 227018683 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1356129837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 SHADY LN",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401677",
"telephone_number": "331-452-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 E BOUGHTON RD STE 27",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402486",
"telephone_number": "331-452-4618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-RUIZ",
"first_name": "ANA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227018683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.