Individual provider Active NPI

Victoria Perez-Krawchuk

  • Massage Therapist
  • East Meadow, NY
National Provider Identifier
1467984153
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
005620 Issued in NY
Practice address
390 Merrick Ave
East Meadow, NY 11554-2701
Phone
(516) 489-2212
NPI assigned
Mar 31, 2017
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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 005620 NY Primary

Addresses

Primary practice location

390 Merrick Ave
East Meadow, NY 11554-2701

Mailing address

390 Merrick Ave
East Meadow, NY 11554-2701
Phone (516) 489-2212

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
005620NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Chiro. Care. P.C. PastSince Oct 26, 2011 Accepting new patients
George M Rizos, DC, PC PastSince Jan 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1467984153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542701",
            "telephone_number": "516-489-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542701",
            "telephone_number": "516-489-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-KRAWCHUK",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "005620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.