Individual provider Active NPI

Tetiana Ianushkevych, LMT

  • Massage Therapist
  • Issaquah, WA
National Provider Identifier
1689250565
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
3707 Providence Point Dr SE Ste B
Issaquah, WA 98029-6216
Phone
(425) 868-9593
Fax
(425) 868-6826
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 Primary

Addresses

Primary practice location

3707 Providence Point Dr SE Ste B
Issaquah, WA 98029-6216

Mailing address

1696 25TH Ave NE Unit 304
Issaquah, WA 98029-2609
Phone (425) 426-9486

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plateau Chiropractic LLC CurrentSince Mar 28, 2021 Accepting new patients
Steven D. Taylor, D.C. PLLC CurrentSince Mar 28, 2021 Accepting new patients

Locations

3707 Providence Point Dr SE
Ste B
Issaquah, WA 98029
Phone (425) 868-8583

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1689250565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 25TH AVE NE UNIT 304",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980292609",
            "telephone_number": "425-426-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 PROVIDENCE POINT DR SE STE B",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296216",
            "telephone_number": "425-868-9593",
            "fax_number": "425-868-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANUSHKEVYCH",
        "first_name": "TETIANA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.