Individual provider Active NPI

Tatyana Rudolfovna Mirochnitchenko, LMT

  • Massage Therapist
  • Oregon, OH
National Provider Identifier
1285543819
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026651 Issued in OH
Practice address
3156 Dustin Rd
Oregon, OH 43616-4342
Phone
(419) 344-1946
NPI assigned
Sep 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 33.026651 OH Primary

Addresses

Primary practice location

3156 Dustin Rd
Oregon, OH 43616-4342

Mailing address

923 Mambrino Rd
Oregon, OH 43616-3140
Phone (419) 344-1946

Other names 1

  • Tatyana Rudolfovna Sherman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1285543819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 MAMBRINO RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163140",
            "telephone_number": "419-344-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 DUSTIN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164342",
            "telephone_number": "419-344-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROCHNITCHENKO",
        "first_name": "TATYANA",
        "middle_name": "RUDOLFOVNA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATYANA",
            "last_name": "SHERMAN",
            "middle_name": "RUDOLFOVNA",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.