Individual provider Active NPI

Stacey Zawoyski, CMTC

  • Massage Therapist
  • Danville, CA
National Provider Identifier
1013692151
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
89122 Issued in CA
Practice address
939 Hartz Way Ste 102
Danville, CA 94526-3440
Phone
(408) 499-8704
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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 89122 CA Primary

Addresses

Primary practice location

939 Hartz Way Ste 102
Danville, CA 94526-3440

Mailing address

620 Ambience Way
Danville, CA 94506-1427
Phone (408) 499-8704

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
89122CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1013692151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 AMBIENCE WAY",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061427",
            "telephone_number": "408-499-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 HARTZ WAY STE 102",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263440",
            "telephone_number": "408-499-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWOYSKI",
        "first_name": "STACEY",
        "credential": "CMTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "89122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.