Individual provider Active NPI

Mara Melissa Saenz, LMT

  • Massage Therapist
  • Palmer, AK
National Provider Identifier
1952855462
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
101873 Issued in AK
Practice address
1734 Prospect Drive
Palmer, AK 99645
Phone
(907) 746-7842
NPI assigned
Aug 12, 2016
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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 101873 AK Primary

Addresses

Primary practice location

1734 Prospect Drive
Palmer, AK 99645

Mailing address

368 N Chugach St
Palmer, AK 99645-6234
Phone (818) 388-1380

Other practice location 1

1700 E Bogard Rd
Ste 200
Wasilla, AK 99654-6563
Phone (818) 388-1380

Other practice location 2

8892 E Kokopelli Cir Unit 20
Palmer, AK 99645-9294
Phone (818) 388-1380

Other practice location 3

368 N Chugach St
Palmer, AK 99645-6234
Phone (818) 388-1380

Other practice location 4

1734 Prospect Drive
Palmer, AK 99645
Phone (907) 746-7842

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
101873AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Chiropractic East Mat-Su LLC CurrentSince Dec 9, 2019 Accepting new patients
Arctic Medical Center Matsu CurrentSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1952855462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 N CHUGACH ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456234",
            "telephone_number": "818-388-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 PROSPECT DRIVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Bogard Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996546563",
            "country_code": "US",
            "telephone_number": "818-388-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8892 E Kokopelli Cir Unit 20",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996459294",
            "country_code": "US",
            "telephone_number": "818-388-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 N Chugach St",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996456234",
            "country_code": "US",
            "telephone_number": "818-388-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1734 Prospect Drive",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "99645",
            "country_code": "US",
            "telephone_number": "907-746-7842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAENZ",
        "first_name": "MARA",
        "middle_name": "MELISSA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "101873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.