Active NPI
Anna Melissa Martin
- Massage Therapist
- Kenai, AK
National Provider Identifier
1871072355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 102072
- Practice address
- 105 Trading Bay Rd Ste 105
Kenai, AK 99611-7768 - Phone
- (907) 741-2232
- NPI assigned
- Aug 7, 2018
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 102072 | AK | Primary |
Addresses
Primary practice location
105 Trading Bay Rd Ste 105
Kenai, AK 99611-7768
Mailing address
PO Box 8582
Nikiski, AK 99635-8582
Phone (907) 741-2232
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102072 | Other | AK | STATE OF ALASAKA |
| 102072 | Other | AK | STATE OF ALASKA |
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 |
|---|---|---|---|
| 102072 | AK | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1871072355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8582",
"city": "NIKISKI",
"state": "AK",
"postal_code": "996358582",
"telephone_number": "907-741-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 TRADING BAY RD STE 105",
"city": "KENAI",
"state": "AK",
"postal_code": "996117768",
"telephone_number": "907-741-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ANNA",
"middle_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "102072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALASAKA",
"identifier": "102072",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ALASKA",
"identifier": "102072",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.