Individual provider Active NPI

Rachelle Aileen Martinez, LMT

  • Massage Therapist
  • Aurora, CO
National Provider Identifier
1538448014
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019676 Issued in CO
Practice address
2323 S Troy St Ste 108
Aurora, CO 80014-1946
Phone
(720) 829-3833
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X
Massage Therapist 225700000X 0019676 CO Primary

Addresses

Primary practice location

2323 S Troy St Ste 108
Aurora, CO 80014-1946

Mailing address

1171 S Sable Blvd Unit E
Aurora, CO 80012-4900
Phone (720) 829-3833

Other practice location 1

1055 Clermont St
Denver, CO 80220-3808
Phone (303) 399-8020 ext. 4345

Other names 1

  • Mrs. Rachelle Aileen Avalos Former name

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
0019676COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1538448014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S SABLE BLVD UNIT E",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124900",
            "telephone_number": "720-829-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST STE 108",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "720-829-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Clermont St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802203808",
            "country_code": "US",
            "telephone_number": "303-399-8020 x4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "RACHELLE",
        "middle_name": "AILEEN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0019676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "AVALOS",
            "middle_name": "AILEEN",
            "prefix": "MRS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.