Ivan Martin, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA52337 Issued in FL

Practice address

750 NW 43Rd Ave
Apt 605
Miami, FL 33126-3559

Phone

(305) 896-5025

NPI assigned

Apr 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1780975854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NW 43RD AVE",
            "address_2": "APT 605",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263559",
            "telephone_number": "305-896-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW 43RD AVE",
            "address_2": "APT 605",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263559",
            "telephone_number": "305-896-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "IVAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA52337",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina L. Martin, BS
• Gremys Martin
• Greys Martin, RBT
• Havanna Martin
• Idania Martin, DNP, ARNP, ANP-BC
• Jasmine Martin
• Javier Martin, MASSAGE THERAPIST
• Jelshon L. Martin, MSN, APRN, FNP-C
• Jennifer Lynn Martin, MA CCC/SLP
• Jessica Martin, LMHC

• Massage Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.