Active NPI
Jana Martinez, LMT
- Massage Therapist
- Portland, OR
National Provider Identifier
1376156612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 25932
- Practice address
- 3543 NE Broadway St
Portland, OR 97232-1820 - Phone
- (971) 351-2270
- NPI assigned
- Aug 26, 2020
- Last updated
- Aug 26, 2020
- 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 | 25932 | OR | Primary |
Addresses
Primary practice location
3543 NE Broadway St
Portland, OR 97232-1820
Mailing address
7804 SE Carlton St
Portland, OR 97206-6321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25932 | Other | OR | STATE-ISSUED LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jana@somaticpdx.org | Direct |
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 |
|---|---|---|---|
| 25932 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somatic Inc | Single Specialty | Current | Accepting new patients |
Locations
3543 NE Broadway St
Portland, OR 97232
Phone (971) 351-2270
Interoperability endpoints
- jana@somaticpdx.org
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": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1376156612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7804 SE CARLTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3543 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321820",
"telephone_number": "971-351-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "JANA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "25932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE-ISSUED LICENSE",
"identifier": "25932",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jana@somaticpdx.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/a",
"address_1": "3543 NE Broadway St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972321820",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.