Active NPI
Tatyana Rudolfovna Mirochnitchenko, LMT
- Massage Therapist
- Oregon, OH
National Provider Identifier
1285543819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.026651
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
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.