Danielle Lee Tkacik, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26808 Issued in OR

Practice address

1733 E Powell Blvd Ste 102
Gresham, OR 97030-8013

Phone

(503) 740-6343

Fax

(503) 974-3744

NPI assigned

Apr 6, 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

• Danika Tkacik Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Soully Aware LLC

  • Massage Therapist
  • Gresham, OR
  • NPI 1780448878

  Single Specialty

  NPD Authorized official
• Keith D. Johns D.C., P.C.

  • Chiropractor
  • Milwaukie, OR
  • NPI 1659431286

  Single Specialty

  NPD (past)
• Milwaukie Chiropractic Center

  • Chiropractor
  • Milwaukie, OR
  • NPI 1174564934

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1932840535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 E POWELL BLVD STE 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308013",
            "telephone_number": "503-740-6343",
            "fax_number": "503-974-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 E POWELL BLVD STE 102",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308013",
            "telephone_number": "503-740-6343",
            "fax_number": "503-974-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Estacada",
            "state": "OR",
            "postal_code": "97023",
            "country_code": "US",
            "telephone_number": "503-740-6343",
            "fax_number": "503-974-3744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1722 NW Raleigh St Ste 417",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091753",
            "country_code": "US",
            "telephone_number": "503-740-6343",
            "fax_number": "503-974-3744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 NE Wood Village Blvd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Wood Village",
            "state": "OR",
            "postal_code": "970602668",
            "country_code": "US",
            "telephone_number": "503-740-6343",
            "fax_number": "503-974-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TKACIK",
        "first_name": "DANIELLE",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1780448878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIKA",
            "last_name": "TKACIK",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madelynn R Tice, QMHA-I
• Brigid Diana Timmons
• Tina Caputo
• Tina Caputo LMT
• Lidiya Sergeyevna Tishchenko
• Trevor Albert Todd, PT
• Kevin Tokoph, PT, DPT
• Kent C Toland, M.D.
• Tara E Toler
• Claire Tolles, PSYD RESIDENT

• Massage Therapist in Gresham, OR
• Providers in Gresham, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.