Active NPI
Inna Oksenchuk, MT
- Massage Therapist
- Springfield, MO
National Provider Identifier
1043677958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2010028862
- Practice address
- 225 E Sunshine St Ste 102
Springfield, MO 65807-2661 - Phone
- (503) 737-5013
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2010028862 | MO | Primary |
Addresses
Primary practice location
225 E Sunshine St Ste 102
Springfield, MO 65807-2661
Mailing address
225 E Sunshine St Ste 102
Springfield, MO 65807-2661
Phone (503) 737-5013
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010028862 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1043677958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E SUNSHINE ST STE 102",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658072661",
"telephone_number": "503-737-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E SUNSHINE ST STE 102",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658072661",
"telephone_number": "503-737-5013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKSENCHUK",
"first_name": "INNA",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2010028862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.