Active NPI
Polina V Kozlowski, LMT
- Massage Therapist
- West Chester, PA
National Provider Identifier
1932565405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MSG003861
- Practice address
- 1306 Wilmington Pike Ste C
West Chester, PA 19382-8270 - Phone
- (484) 317-4377
- NPI assigned
- Jan 13, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP020320 | PA | |
| Registered Nurse | 163W00000X | RN639988 | PA | |
| Massage Therapist | 225700000X | MSG003861 | PA | Primary |
| Nurse Massage Therapist (NMT) | 163WM1400X | RN639988 | PA |
Addresses
Primary practice location
1306 Wilmington Pike Ste C
West Chester, PA 19382-8270
Mailing address
1306 Wilmington Pike Ste C
Room #1
West Chester, PA 19382
Phone (484) 317-4377
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN639988 | PA | MD | Nurse Massage Therapist (NMT) |
| MSG003861 | PA | MD | Massage Therapist |
| SP020320 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1932565405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 WILMINGTON PIKE STE C",
"address_2": "ROOM #1",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19382",
"telephone_number": "484-317-4377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 WILMINGTON PIKE STE C",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828270",
"telephone_number": "484-317-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOWSKI",
"first_name": "POLINA",
"middle_name": "V",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020320",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN639988",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG003861",
"primary": true
},
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "PA",
"license": "RN639988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.