Active NPI
Tanya Martushev, L.M.T.
- Massage Therapist
- New York, NY
National Provider Identifier
1679707863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 020997
- Practice address
- 251 5TH Ave
3Rd Floor
New York, NY 10016-6515 - Phone
- (917) 593-5982
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 020997 | NY | Primary |
Addresses
Primary practice location
251 5TH Ave
3Rd Floor
New York, NY 10016-6515
Mailing address
PO Box 1262
Cooper Station
New York, NY 10276-1262
Phone (917) 593-5982
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 |
|---|---|---|---|
| 020997 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241395200000",
"number": "1679707863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1262",
"address_2": "COOPER STATION",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102761262",
"telephone_number": "917-593-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 5TH AVE",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166515",
"telephone_number": "917-593-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTUSHEV",
"first_name": "TANYA",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "020997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.