Active NPI
Jazanier Ikeyia Martin
- Massage Therapist
- West Lawn, PA
National Provider Identifier
1952254609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG013029
- Practice address
- 2209 Quarry Dr Ste B21
West Lawn, PA 19609-1153 - Phone
- (610) 601-9011
- NPI assigned
- Feb 20, 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 | MSG013029 | PA | Primary |
Addresses
Primary practice location
2209 Quarry Dr Ste B21
West Lawn, PA 19609-1153
Mailing address
112 W Lancaster Ave
Shillington, PA 19607-1858
Phone (267) 891-9262
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 |
|---|---|---|---|
| MSG013029 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Super'S House of Health, P.C. | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1952254609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W LANCASTER AVE",
"city": "SHILLINGTON",
"state": "PA",
"postal_code": "196071858",
"telephone_number": "267-891-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 QUARRY DR STE B21",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196091153",
"telephone_number": "610-601-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAZANIER",
"middle_name": "IKEYIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG013029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lawn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.