Individual provider Active NPI

Tammy M Marr, LMT

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Middleton, ID
National Provider Identifier
1447581665
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
MASG-91 Issued in ID
Practice address
341 N. 4TH Ave W.
Middleton, ID 83644
Phone
(208) 703-1098
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X ID
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X MASG-91 ID Primary

Addresses

Primary practice location

341 N. 4TH Ave W.
Middleton, ID 83644

Mailing address

P.O. Box 53
Middleton, ID 83644
Phone (208) 703-1098

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
MASG-91IDMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1447581665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 53",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "83644",
            "telephone_number": "208-703-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N. 4TH AVE W.",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "83644",
            "telephone_number": "208-703-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR",
        "first_name": "TAMMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "ID",
            "license": "MASG-91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.