Andrew Paul Zagrocki, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA101128 Issued in FL

Practice address

4869 Palm Coast Pkwy NW Unit 3
Palm Coast, FL 32137-3667

Phone

(321) 231-4666

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1194421768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WATERMILL PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647645",
            "telephone_number": "321-231-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PKWY NW UNIT 3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373667",
            "telephone_number": "321-231-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGROCKI",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA101128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Elizabeth Youngs
• Stephen D Yuhas, H.I.S
• Faith Yurchak, LMT
• Mariya Yurkiv, RDN
• Grace E Yustin, OD
• Michelle Zammit, COTA/L
• Evelyn Marie Zayas
• Yelena V Zhukova, PHARMD
• Kenneth Matthew Zino, CRNA
• Matthew James Zoght, MD

• Massage Therapist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.