Individual provider Active NPI

Kathy Jung Ko, MASSAGE THERAPIST

  • Massage Therapist
  • North Chesterfield, VA
National Provider Identifier
1427748904
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0019014094 Issued in VA
Practice address
9327 Midlothian Tpke Ste 1G
North Chesterfield, VA 23235-4965
Phone
(804) 464-3315
Fax
(866) 398-5592
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 0019014094 VA Primary

Addresses

Primary practice location

9327 Midlothian Tpke Ste 1G
North Chesterfield, VA 23235-4965

Mailing address

9327 Midlothian Tpke Ste 1G
North Chesterfield, VA 23235-4965
Phone (804) 464-3315

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
0019014094VAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1427748904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TPKE STE 1G",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354965",
            "telephone_number": "804-464-3315",
            "fax_number": "866-398-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 MIDLOTHIAN TPKE STE 1G",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354965",
            "telephone_number": "804-464-3315",
            "fax_number": "866-398-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "KATHY",
        "middle_name": "JUNG",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019014094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.