Individual provider Active NPI

Zoryana Zhukovskaya, LMT

  • Massage Therapist
  • Tukwila, WA
National Provider Identifier
1821219213
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00011696 Issued in WA
Practice address
3459 S 152ND St
Tukwila, WA 98188-2176
Phone
(206) 999-0362
Fax
(206) 241-5562
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 MA00011696 WA Primary

Addresses

Primary practice location

3459 S 152ND St
Tukwila, WA 98188-2176

Mailing address

13501 157TH CT NE
Redmond, WA 98052-1700
Phone (206) 999-0362

Other practice location 1

2120 SW 152nd St
Burien, WA 98166-2027
Phone (206) 244-7973

Other identifiers 2

IdentifierTypeStateIssuer
ZH5872OtherWAREGENCE PROVIDER #
0123766OtherWAWORKER'S COMP

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
MA00011696WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821219213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 157TH CT NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980521700",
            "telephone_number": "206-999-0362",
            "fax_number": "206-241-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 S 152ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882176",
            "telephone_number": "206-999-0362",
            "fax_number": "206-241-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 SW 152nd St",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981662027",
            "country_code": "US",
            "telephone_number": "206-244-7973",
            "fax_number": "206-244-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHUKOVSKAYA",
        "first_name": "ZORYANA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER #",
            "identifier": "ZH5872",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "0123766",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.