Active NPI
Yuri Khaimov, LMT
- Massage Therapist
- Rego Park, NY
National Provider Identifier
1386372910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 027195-01
- Practice address
- 6541 Saunders St Apt 6E
Rego Park, NY 11374-4206 - Phone
- (347) 527-8299
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 027195-01 | NY | Primary |
Addresses
Primary practice location
6541 Saunders St Apt 6E
Rego Park, NY 11374-4206
Mailing address
6541 Saunders St Apt 6E
Rego Park, NY 11374-4206
Phone (347) 527-8299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027195-01 | Other | NY | MASSAGE THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@allofpain.com |
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 |
|---|---|---|---|
| 027195-01 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1386372910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6541 SAUNDERS ST APT 6E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744206",
"telephone_number": "347-527-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6541 SAUNDERS ST APT 6E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744206",
"telephone_number": "347-527-8299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIMOV",
"first_name": "YURI",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "027195-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY",
"identifier": "027195-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@allofpain.com",
"affiliation": "N",
"address_1": "6541 Saunders St Apt 6E",
"city": "Rego Park",
"state": "NY",
"country_code": "US",
"postal_code": "113744206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.