Jon Marc Cortez, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60183879 Issued in WA

Practice address

9003 Canyon Dr
Kent, WA 98030-4779

Phone

(253) 336-6164

Fax

(888) 357-7244

NPI assigned

Aug 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Massage Injury Network LLC

  • Specialist
  • Kent, WA
  • NPI 1902279458
  NPD (past)
• Paul B Byers DC PS

  • Rehabilitation Chiropractor
  • Kent, WA
  • NPI 1598943086
  NPD (past)

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1922430396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 CANYON DR",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304779",
            "telephone_number": "253-336-6164",
            "fax_number": "888-357-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 CANYON DR",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304779",
            "telephone_number": "253-336-6164",
            "fax_number": "888-357-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "JON",
        "middle_name": "MARC",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60183879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Corbin, D.C.
• Erin Corcoran, LMP
• Brielle Kathleen Coronado, LMT
• Raf Corporal, COTA/L
• Ellen Corrigan
• Sata Coulibaly
• Isabelle Grace Coulson
• Helen M Countryman, RN
• Cowart & Reed, LLC
• Gary Keith Cowart, D.D.S.

• Specialist in Kent, WA
• Providers in Kent, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.