Individual provider Active NPI

Martin Dale Barr, B.S., L.M.P.

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1487833760
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00022658 Issued in WA
Practice address
4444 Woodland Park Ave N
Suite 115
Seattle, WA 98103-7429
Phone
(206) 310-2823
Fax
(206) 547-5883
NPI assigned
Nov 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2010

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 MA00022658 WA Primary

Addresses

Primary practice location

4444 Woodland Park Ave N
Suite 115
Seattle, WA 98103-7429

Mailing address

4444 Woodland Park Ave N
Suite 115
Seattle, WA 98103-7429
Phone (206) 310-2823

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
MA00022658WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1487833760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N",
            "address_2": "SUITE 115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037429",
            "telephone_number": "206-310-2823",
            "fax_number": "206-547-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N",
            "address_2": "SUITE 115",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037429",
            "telephone_number": "206-310-2823",
            "fax_number": "206-547-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "MARTIN",
        "middle_name": "DALE",
        "credential": "B.S., L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00022658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.