Active NPI
Kaelin M Martin, LMT
- Massage Therapist
- Longwood, FL
National Provider Identifier
1386708915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA0046951
- Practice address
- 2711 W Sr 434
Longwood, FL 32779-4880 - Phone
- (407) 774-3311
- Fax
- (407) 774-4146
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MA0046951 | FL | Primary |
Addresses
Primary practice location
2711 W Sr 434
Longwood, FL 32779-4880
Mailing address
449 Hays CT
Apopka, FL 32712-3810
Phone (407) 461-9902
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 |
|---|---|---|---|
| MA0046951 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon West Chiropractic LLC | Past | Accepting new patients | |
| Kimberly Watson, D.C., P.a. | Past | Accepting new patients |
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.
-
dba Explore Chiropractic Longwood
- Chiropractor
- Longwood, FL
- NPI 1235749748
-
- Chiropractor
- Longwood, FL
- NPI 1316494743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1386708915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 HAYS CT",
"city": "APOPKA",
"state": "FL",
"postal_code": "327123810",
"telephone_number": "407-461-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 W SR 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327794880",
"telephone_number": "407-774-3311",
"fax_number": "407-774-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KAELIN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA0046951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.