Iryna Kozakova, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

41510 Issued in FL

Practice address

920 International Pkwy Ste 1040
Lake Mary, FL 32746-5229

Phone

(916) 833-9262

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

No

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": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1205591377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 CAHILL WAY",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462321",
            "telephone_number": "916-833-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 INTERNATIONAL PKWY STE 1040",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465229",
            "telephone_number": "916-833-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAKOVA",
        "first_name": "IRYNA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "41510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Catherine Kolentus
• Siva Rama Krishna Kondapalli
• Pothen C Koruth, MD
• Kamryn Pearl Kosteski
• Oraianthi Kountourogianni Javed
• Kathryn Krajewski, M.A./CCC-SLP
• Jessica Hunter Kreisler-Tsui
• Sreenivasa Krishnaswamy, RPH
• Sandra Kroitor, LMHC, M.S., M.ED..
• Jeffrey Alan Krotenberg, D.O.

• Massage Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.