Individual provider Active NPI

Len Pinkowski, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1366778771
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16215 Issued in OR
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
16215ORMDMassage Therapist
MA60115525WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Chiropractic, P.C. PastSince Mar 8, 2009 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.

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.

Verify at the official NPI Registry.