Individual provider Active NPI

Jana Martinez, LMT

  • Massage Therapist
  • Portland, OR
National Provider Identifier
1376156612
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25932 Issued in OR
Practice address
3543 NE Broadway St
Portland, OR 97232-1820
Phone
(971) 351-2270
NPI assigned
Aug 26, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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 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

IdentifierTypeStateIssuer
25932OtherORSTATE-ISSUED LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
25932ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Somatic Inc Single Specialty CurrentSince Aug 30, 2020 Accepting new patients

Locations

3543 NE Broadway St
Portland, OR 97232
Phone (971) 351-2270

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.