Active NPI
Oksana N Gerasimchuk, MASSAGE THERAPIST
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1609102466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60012019
- Practice address
- 2700 NE Andresen Rd
D11-a
Vancouver, WA 98661-7347 - Phone
- (360) 609-6204
- NPI assigned
- Oct 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 60012019 | WA | Primary |
Addresses
Primary practice location
2700 NE Andresen Rd
D11-a
Vancouver, WA 98661-7347
Mailing address
2700 NE Andresen Rd
D11-a
Vancouver, WA 98661-7347
Phone (360) 609-6204
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 |
|---|---|---|---|
| 60012019 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256688000000",
"number": "1609102466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 NE ANDRESEN RD",
"address_2": "D11-A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617347",
"telephone_number": "360-609-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NE ANDRESEN RD",
"address_2": "D11-A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617347",
"telephone_number": "360-609-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERASIMCHUK",
"first_name": "OKSANA",
"middle_name": "N",
"name_prefix": "Miss",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-28",
"last_updated": "2009-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60012019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.