Active NPI
Len Pinkowski, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1366778771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 16215
- Practice address
- 14913 SE Mill Plain Blvd
D-26
Vancouver, WA 98684-8239 - Phone
- (360) 609-3438
- NPI assigned
- Oct 20, 2009
- Last updated
- Nov 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60115525 | WA | |
| Massage Therapist | 225700000X | 16215 | OR | Primary |
Addresses
Primary practice location
14913 SE Mill Plain Blvd
D-26
Vancouver, WA 98684-8239
Mailing address
14913 SE Mill Plain Blvd
D-26
Vancouver, WA 98684-8239
Phone (360) 609-3438
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
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16215 | OR | MD | Massage Therapist |
| MA60115525 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Chiropractic, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Vancouver, WA
- NPI 1285891648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1366778771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14913 SE MILL PLAIN BLVD",
"address_2": "D-26",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986848239",
"telephone_number": "360-609-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14913 SE MILL PLAIN BLVD",
"address_2": "D-26",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986848239",
"telephone_number": "360-609-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKOWSKI",
"first_name": "LEN",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60115525",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "16215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.