Individual provider Active NPI

Rebecca Mackenzie Ledzian, LMP

  • Massage Therapist
  • Tukwila, WA
National Provider Identifier
1821243577
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 00024554 Issued in WA
Practice address
662 Strander Blvd
Tukwila, WA 98188-2923
Phone
(425) 204-1575
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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 MA 00024554 WA Primary

Addresses

Primary practice location

662 Strander Blvd
Tukwila, WA 98188-2923

Mailing address

662 Strander Blvd
Tukwila, WA 98188-2923
Phone (425) 204-1575

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
MA 00024554WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virk Chiropractic Inc. PS PastSince May 1, 2013 Accepting new patients

Organizations & group practices 1

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": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1821243577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882923",
            "telephone_number": "425-204-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882923",
            "telephone_number": "425-204-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDZIAN",
        "first_name": "REBECCA",
        "middle_name": "MACKENZIE",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00024554",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 29, 2009; 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.