Individual provider Active NPI

Victoria Ziskind, LMT

  • Massage Therapist
  • Des Plaines, IL
National Provider Identifier
1134537830
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227002315 Issued in IL
Practice address
880 Lee St Ste 207
Des Plaines, IL 60016-6465
Phone
(847) 768-9330
Fax
(847) 768-9336
NPI assigned
Jul 25, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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 227002315 IL Primary

Addresses

Primary practice location

880 Lee St Ste 207
Des Plaines, IL 60016-6465

Mailing address

880 Lee St Ste 207
Des Plaines, IL 60016-6465
Phone (847) 768-9330

Other names 1

  • Victoria Peysakhova Former name

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
227002315ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1134537830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 LEE ST STE 207",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166465",
            "telephone_number": "847-768-9330",
            "fax_number": "847-768-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LEE ST STE 207",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166465",
            "telephone_number": "847-768-9330",
            "fax_number": "847-768-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISKIND",
        "first_name": "VICTORIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227002315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PEYSAKHOVA",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.