Katie Marie Coco Martinez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

024839 Issued in NY

Practice address

40 Gardenville Pkwy W Ste 111
West Seneca, NY 14224-1387

Phone

(716) 870-3548

NPI assigned

Apr 10, 2015

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Katie Marie Dimpfl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Massage Room LLC

  • Massage Therapist
  • West Seneca, NY
  • NPI 1306650692
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1396131884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY W STE 111",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-870-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GARDENVILLE PKWY W STE 111",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241387",
            "telephone_number": "716-870-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCO MARTINEZ",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "DIMPFL",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Clark, MA
• Clear Choice Hearing Associates
• David S Clifford, M.D.
• Maryanne Closson, RPH
• Miranda E Cobo, DPT
• Lynette Marie Coffelt
• Kara Jean Colburn, BSN, RN, RNFA, CST
• Rachel Colegrove, OTR
• Thomas Coleman, PT, DPT
• Kiersten Harryette Coley, MA

• Massage Therapist in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.