Active NPI
Yelena Perekopskaya
- Massage Therapist
- Lynnwood, WA
National Provider Identifier
1407250871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60434315
- Practice address
- 6501 196TH St SW
Suite C
Lynnwood, WA 98036-5980 - Phone
- (425) 775-2288
- Fax
- (425) 778-5476
- NPI assigned
- Oct 14, 2014
- Sex
- Female
- 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 | MA60434315 | WA | Primary |
Addresses
Primary practice location
6501 196TH St SW
Suite C
Lynnwood, WA 98036-5980
Mailing address
6501 196TH St SW
Suite C
Lynnwood, WA 98036-5980
Phone (425) 775-2288
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 |
|---|---|---|---|
| MA60434315 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Greenall | Massage Therapist | Past | Accepting new patients |
| Lifeplus Health Centers, PS | Massage Therapist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1407250871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 196TH ST SW",
"address_2": "SUITE C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365980",
"telephone_number": "425-775-2288",
"fax_number": "425-778-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 196TH ST SW",
"address_2": "SUITE C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365980",
"telephone_number": "425-775-2288",
"fax_number": "425-778-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREKOPSKAYA",
"first_name": "YELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60434315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.