Individual provider Active NPI

Raymond Yurcik, CH LMT

  • Massage Therapist
  • Tucson, AZ
National Provider Identifier
1316580079
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
5405 E Pima St
Tucson, AZ 85712-3674
Phone
(520) 444-7201
NPI assigned
Oct 24, 2019
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 NU Primary

Addresses

Primary practice location

5405 E Pima St
Tucson, AZ 85712-3674

Mailing address

5405 E Pima St
Tucson, AZ 85712-3674
Phone (520) 444-7201

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ray@soulshineoftucson.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1316580079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123674",
            "telephone_number": "520-444-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123674",
            "telephone_number": "520-444-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURCIK",
        "first_name": "RAYMOND",
        "credential": "CH LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ray@soulshineoftucson.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5405 E Pima St",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857123674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.