Dora Joy Marcinkowski, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5344 Issued in CA

Practice address

15436 Valerio St
Van Nuys, CA 91406-3326

Phone

(818) 606-4073

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joy Marcinkowski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1699409789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15436 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063326",
            "telephone_number": "818-606-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15436 VALERIO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063326",
            "telephone_number": "818-606-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKOWSKI",
        "first_name": "DORA",
        "middle_name": "JOY",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "5344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMTC",
            "identifier": "5344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "MARCINKOWSKI",
            "credential": "CMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.