Active NPI
Taras Mychajlo Penkalskyj, MT
- Massage Therapist
- Phila, PA
National Provider Identifier
1326319591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG001563
- Practice address
- 8400 Bustleton Ave
Suite 9
Phila, PA 19152-1918 - Phone
- (215) 725-2300
- NPI assigned
- Jan 20, 2012
- Sex
- Male
- 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 | MSG001563 | PA | Primary |
Addresses
Primary practice location
8400 Bustleton Ave
Suite 9
Phila, PA 19152-1918
Mailing address
8400 Bustleton Ave
Suite 9
Phila, PA 19152-1918
Phone (215) 725-2300
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG001563 | PA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1326319591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 BUSTLETON AVE",
"address_2": "SUITE 9",
"city": "PHILA",
"state": "PA",
"postal_code": "191521918",
"telephone_number": "215-725-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 BUSTLETON AVE",
"address_2": "SUITE 9",
"city": "PHILA",
"state": "PA",
"postal_code": "191521918",
"telephone_number": "215-725-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENKALSKYJ",
"first_name": "TARAS",
"middle_name": "MYCHAJLO",
"name_prefix": "Mr.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-20",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG001563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
- Louis Francis Pauzano Jr., PHARM.D.
- Melette Pearson, RN
- Pediatric Dental Excellence, LLC
- Rodney J. Pelchat, M.D.
- Rachel Pellecchia, CRNP
- Penn Presbyterian Medical Center
- Penn Presbyterian Medical Center Spu
- Penn Presbyterian Medical Ctr Detox Rehab
- Penn Presbyterian Medical Ctr Iop
- Penn Presybyterian Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.