DR. CARYN SUE MARTIN (NPI# 1114314911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114314911 |
| Entity Type | Individual |
| Full Name | DR. CARYN SUE MARTIN |
| Credential | ED.D |
| Practice Address |
202 Overture Way Centreville MD 21617-2387 |
| Practice Telephone | 3012545300 |
| Mailing Telephone | 3012545300 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M00040 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
202 OVERTURE WAY |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982049417 | Rebecca Wright | Massage Therapist | 353 Willow Branch Rd, Centreville, MD 21617-1940 | 2013-05-10 |
| 1023539582 | Casey Mackes | Massage Therapist | 14215e Centreville Sq, Centreville, VA 20121-2301 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467606 | Paul Clark Kimball | Massage Therapist | 3631 Martins Dairy Cir, Olney, MD 20832-2451 | 2020-11-04 |
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1609476209 | Edward Drew Welch | Massage Therapist | 1812 Baltimore Blvd Ste E, Westminster, MD 21157-7144 | 2020-11-01 |
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| 1457950305 | Aj Denzel Henry | Massage Therapist | 44 Polk St, Aberdeen, MD 21001-2589 | 2020-10-21 |
| 1316545916 | Chanin D Storm | Massage Therapist | 1719 Woodruff Way, Frederick, MD 21701-2514 | 2020-10-15 |
| 1164020756 | Brighid Rose Satori | Massage Therapist | 8018 Brightwood Ct, Ellicott City, MD 21043-7932 | 2020-10-15 |
| 1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
| 1235736877 | Janthima Sapadith | Massage Therapist | 834 Waterford Dr, Frederick, MD 21702-4088 | 2020-10-06 |
| 1205433372 | Shengchao Qiang | Massage Therapist | 751 Sligo Ave, Silver Spring, MD 20910-4729 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.