Individual provider Active NPI

Zach Mayfield

  • Massage Therapist
  • Palatine, IL
National Provider Identifier
1063179430
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227014067 Issued in IL
Practice address
507 S Vermont St
Palatine, IL 60067-6947
Phone
(847) 436-6634
NPI assigned
Nov 20, 2021
Last updated
Nov 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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 227014067 IL Primary

Addresses

Primary practice location

507 S Vermont St
Palatine, IL 60067-6947

Mailing address

507 S Vermont St
Palatine, IL 60067-6947
Phone (847) 436-6634

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
227014067ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Gear LLC Massage Therapist CurrentSince Jan 15, 2023 Accepting new patients

Locations

507 S Vermont St
Palatine, IL 60067
Phone (847) 323-7001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1063179430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S VERMONT ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676947",
            "telephone_number": "847-436-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S VERMONT ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676947",
            "telephone_number": "847-436-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "ZACH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227014067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; 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.