Individual provider Active NPI

Corrine Marie Papak

  • Massage Therapist
  • Lake Zurich, IL
National Provider Identifier
1417231663
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
539875-07 Issued in IL
Practice address
1 Golfview Rd
Suite 1
Lake Zurich, IL 60047-1210
Phone
(224) 639-3246
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 539875-07 IL Primary

Addresses

Primary practice location

1 Golfview Rd
Suite 1
Lake Zurich, IL 60047-1210

Mailing address

1 Golfview Rd
Suite 1
Lake Zurich, IL 60047-1210
Phone (224) 639-3246

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

LicenseStateTypeSpecialty
539875-07ILMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1417231663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOLFVIEW RD",
            "address_2": "SUITE 1",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471210",
            "telephone_number": "224-639-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GOLFVIEW RD",
            "address_2": "SUITE 1",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471210",
            "telephone_number": "224-639-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAK",
        "first_name": "CORRINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "539875-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.