Individual provider Active NPI

Yvonne Jankie, L.M.T

  • Massage Therapist
  • Rockaway Park, NY
National Provider Identifier
1124758693
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
032825 Issued in NY
Practice address
168 Beach 119TH St FL 1
Rockaway Park, NY 11694-1953
Phone
(917) 741-6823
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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 032825 NY Primary

Addresses

Primary practice location

168 Beach 119TH St FL 1
Rockaway Park, NY 11694-1953

Mailing address

168 Beach 119TH St FL 1
Rockaway Park, NY 11694-1953
Phone (917) 741-6823

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
032825NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1124758693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BEACH 119TH ST FL 1",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941953",
            "telephone_number": "917-741-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BEACH 119TH ST FL 1",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941953",
            "telephone_number": "917-741-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKIE",
        "first_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "032825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.