Active NPI
Zina L Brockman, DOULA
- Massage Therapist
- South Ozone Park, NY
National Provider Identifier
1366142879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019019432
- Practice address
- 11755 122ND PL
South Ozone Park, NY 11420-2723 - Phone
- (347) 327-4279
- NPI assigned
- Mar 6, 2023
- Last updated
- Jun 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019019432 | VA | Primary |
| Doula | 374J00000X | NU |
Addresses
Primary practice location
11755 122ND PL
South Ozone Park, NY 11420-2723
Mailing address
1200 Bridgeport Way Apt 204
Suffolk, VA 23435-1968
Phone (347) 327-4279
Other practice location 1
838 Old George Washington Hwy N
Chesapeake, VA 23323-2209
Phone (347) 327-4279
Other practice location 2
1200 Bridgeport Way Apt 204
Suffolk, VA 23435-1968
Phone (347) 327-4279
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019019432 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motherbaby Wellness Perinatal Hub | Massage Therapist | Current | Accepting new patients |
| Motherbaby Wellness Center | Massage Therapist | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1366142879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BRIDGEPORT WAY APT 204",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351968",
"telephone_number": "347-327-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11755 122ND PL",
"city": "SOUTH OZONE PARK",
"state": "NY",
"postal_code": "114202723",
"telephone_number": "347-327-4279"
}
],
"practiceLocations": [
{
"address_1": "838 Old George Washington Hwy N",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233232209",
"country_code": "US",
"telephone_number": "347-327-4279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Bridgeport Way Apt 204",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234351968",
"country_code": "US",
"telephone_number": "347-327-4279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCKMAN",
"first_name": "ZINA",
"middle_name": "L",
"credential": "DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019019432",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.