BRENDA J. MARTIN (NPI# 1164702916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164702916 |
| Entity Type | Individual |
| Full Name | BRENDA J. MARTIN |
| Credential | LMT, CCA |
| Practice Address |
7476 S Broadway Red Hook NY 12571-1772 |
| Mailing Address |
1414 Route 82 Ancram NY 12502-5120 |
| Practice Telephone | 8457022066 |
| Mailing Telephone | 8457022066 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 016543-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981700 | Brenda Kay Martin | Technician | 171 Chesapeake Rd, Fairmont, WV 26554-9699 | 2020-10-29 |
| 1689231813 | Brenda Martin | Student in an Organized Health Care Education/Training Program | 322 Woodlawn Dr, Fairborn, OH 45324-4137 | 2019-05-22 |
| 1164987541 | Brenda Martin | Registered Nurse | 25820 Southfield Rd Ste 111, Southfield, MI 48075-1800 | 2019-02-10 |
| 1124288121 | Brenda Hatfield Martin | Occupational Therapy Assistant | 1217 Augusta St, Charlottesville, VA 22903-5106 | 2008-06-12 |
| 1417134107 | Brenda Martin | Speech-Language Pathologist | 10387 W. Shadow Rock Drive, Boise, ID 83714 | 2008-01-25 |
| 1053496406 | Brenda K Martin | Social Worker | 127 N Green St, Statesville, NC 28677-5375 | 2006-10-26 |
| 1063403970 | Brenda Rae Martin | Pharmacist | Osawatomie State Hospital, Rt 1 Box 500, Osawatomie, KS 66064 | 2005-10-31 |
| 1407841000 | Brenda Martin | Nurse Practitioner | 586 Moorestown Dr, Bath, PA 18014-9713 | 2005-09-20 |
| 1689275745 | Brenda Martin | Technician | 1408 Harrison Ave, Elkins, WV 26241-3325 | 2020-11-05 |
| 1861021206 | Brenda Martin | Case Manager/Care Coordinator | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-04-07 |
| Street Address |
7476 S BROADWAY |
| City | RED HOOK |
| State | NY |
| Zip Code | 12571-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114475969 | Aleta Murray | Registered Nurse | 2 Phillips Street, Red Hook, NY 12571 | 2016-09-21 |
| 1306245469 | Rebecca Lewis | Social Worker | 35 W Market St Ste 3, Red Hook, NY 12571 | 2014-08-14 |
| 1538401807 | Debra W. Heath | Social Worker | 7484 Broadway 6b, Red Hook, NY 12571 | 2013-03-25 |
| 1780957845 | Ann B. Chase | Nurse Practitioner | 56 Tee Lane, Red Hook, NY 12571 | 2012-02-20 |
| 1518102367 | Ellen Gaffney | Speech-Language Pathologist | 113 Kelly Rd, Red Hook, NY 12571 | 2008-12-09 |
| 1053564021 | Jenny Riehl | Speech-Language Pathologist | 9 Mill Rd, Red Hook, NY 12571 | 2008-11-03 |
| 1407005705 | Stacie Marie Totman | Occupational Therapist | 12 Grandmour Dr, Red Hook, NY 12571 | 2008-09-11 |
| 1437211281 | Alison Gigl George | Counselor | 256 West Market St, Red Hook, NY 12571 | 2006-12-15 |
| 1548336373 | Michael Walter Cole | Social Worker | 138 Rokeby Road, Red Hook, NY 12571 | 2006-11-24 |
| 1972678985 | James Manfred Ross | Dentist | 84 West Market Street, Red Hook, NY 12571 | 2006-11-22 |
| Find all providers in zip 12571 | ||||
| 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 |
|---|---|---|---|---|
| 1730500083 | Samantha Hanback | Massage Therapist | 191 Norton Rd, Red Hook, NY 12571-2503 | 2014-01-03 |
| 1295029015 | Renee Gambino-bonjolo | Massage Therapist | 17 Glen Pond Dr, Red Hook, NY 12571-1840 | 2011-06-09 |
| 1366562597 | Teresa A Ackerly | Massage Therapist | 7259 S Broadway, Red Hook, NY 12571-1618 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.