Organization Active NPI

MK Massage Therapy

  • Massage Therapist
  • Brooklyn, NY
National Provider Identifier
1407490212
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MK MASSAGE THERAPY
Practice address
3815 Sea Gate Ave # 2
Brooklyn, NY 11224-1240
Phone
(917) 693-4237
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Maksim Krasnyuk, LMT
Title
Mt
Phone
(917) 693-4237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3815 Sea Gate Ave # 2
Brooklyn, NY 11224-1240

Mailing address

3815 Sea Gate Ave # 2
Brooklyn, NY 11224-1240
Phone (917) 693-4237

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1407490212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 SEA GATE AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241240",
            "telephone_number": "917-693-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 SEA GATE AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241240",
            "telephone_number": "917-693-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "KRASNYUK",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "MT",
        "authorized_official_telephone_number": "917-693-4237",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.