Individual provider Active NPI

Joshua Adam Martin

  • Massage Therapist
  • Federal Way, WA
National Provider Identifier
1841761145
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60900797 Issued in WA
Practice address
204 S 348TH St
Federal Way, WA 98003-7041
Phone
(253) 797-4567
NPI assigned
Dec 11, 2018
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 60900797 WA Primary

Addresses

Primary practice location

204 S 348TH St
Federal Way, WA 98003-7041

Mailing address

30055 12TH LN SW
Federal Way, WA 98023-3448
Phone (619) 817-5800

Other practice location 1

30055 12th Ln SW # Lm
Federal Way, WA 98023-3448
Phone (619) 817-5800

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
60900797WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1841761145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30055 12TH LN SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980233448",
            "telephone_number": "619-817-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S 348TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037041",
            "telephone_number": "253-797-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30055 12th Ln SW # Lm",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980233448",
            "country_code": "US",
            "telephone_number": "619-817-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOSHUA",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60900797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.