Individual provider Active NPI

Anastasiya S Kiklevich, LMT, CMLMT

  • Massage Therapist
  • Washington, DC
National Provider Identifier
1699347922
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT2275 Issued in DC
Practice address
1931 15TH St NW
Washington, DC 20009-3978
Phone
(202) 744-0316
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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 MT2275 DC Primary

Addresses

Primary practice location

1931 15TH St NW
Washington, DC 20009-3978

Mailing address

1117 10TH St NW Apt 410
Washington, DC 20001-6402

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address management@massosportdc.com Other

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
MT2275DCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1699347922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 10TH ST NW APT 410",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200016402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093978",
            "telephone_number": "202-744-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKLEVICH",
        "first_name": "ANASTASIYA",
        "middle_name": "S",
        "credential": "LMT, CMLMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@massosportdc.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Inquiries",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1931 15th St NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200093978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.