Active NPI
Kerry Olechovski
- Reflexologist
- Blairsville, PA
National Provider Identifier
1790225860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MSG001358
- Practice address
- 259 Palmerton Rd
Blairsville, PA 15717-6509 - Phone
- (724) 599-4118
- NPI assigned
- Mar 8, 2017
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MSG001358 | PA | Primary |
Addresses
Primary practice location
259 Palmerton Rd
Blairsville, PA 15717-6509
Mailing address
259 Palmerton Rd
Blairsville, PA 15717-6509
Phone (724) 599-4118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MSG001358 | Other | PA | MESSAGE THERAPIST |
| CQ115024 | Other | PA | ESTHETICIAN |
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 |
|---|---|---|---|
| MSG001358 | PA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1790225860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 PALMERTON RD",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157176509",
"telephone_number": "724-599-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 PALMERTON RD",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157176509",
"telephone_number": "724-599-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLECHOVSKI",
"first_name": "KERRY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "PA",
"license": "MSG001358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MESSAGE THERAPIST",
"identifier": "MSG001358",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESTHETICIAN",
"identifier": "CQ115024",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blairsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.