Individual provider Active NPI

Konstantin Romashchenko, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1033974100
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61526308 Issued in WA
Practice address
221A NE 104TH Ave Ste 205
Vancouver, WA 98664-4539
Phone
(360) 737-9665
NPI assigned
Feb 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 MA61526308 WA Primary

Addresses

Primary practice location

221A NE 104TH Ave Ste 205
Vancouver, WA 98664-4539

Mailing address

7021 NE 144TH Ave
Vancouver, WA 98682-4510

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
MA61526308WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Medicine & Rehabilitation Center PC Massage Therapist CurrentSince Feb 25, 2024 Accepting new patients
Manual Medicine & Rehabilitation Center PC, of Wa PastSince Feb 25, 2024 Accepting new patients

Locations

221A NE 104th Ave
Ste 205
Vancouver, WA 98664
Phone (360) 298-9753

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1033974100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 NE 144TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986824510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A NE 104TH AVE STE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644539",
            "telephone_number": "360-737-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMASHCHENKO",
        "first_name": "KONSTANTIN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61526308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.