Active NPI
Ihor Kachula, LMT
- Massage Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61576648
- Practice address
- 516 SE Chkalov Dr Ste 49
Vancouver, WA 98683-5277 - Phone
- (360) 836-4136
- NPI assigned
- Feb 25, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61576648 | WA | Primary |
Addresses
Primary practice location
516 SE Chkalov Dr Ste 49
Vancouver, WA 98683-5277
Mailing address
1330 NE 136TH Ave Apt 254
Vancouver, WA 98684-5970
Phone (360) 787-5362
Other practice location 1
221A NE 104th Ave Ste 205
Vancouver, WA 98664-4539
Phone (360) 787-5362
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 |
|---|---|---|---|
| MA61576648 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual Medicine & Rehabilitation Center PC | Massage Therapist | Current | Accepting new patients |
| Manual Medicine & Rehabilitation Center PC, of Wa | Past | Accepting new patients |
Locations
221A NE 104th Ave
Ste 205
Vancouver, WA 98664
Phone (360) 298-9753
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1295900421
Massage Therapist
-
dba Dr. Ibolit
- Chiropractor
- Portland, OR
- NPI 1831793603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1972300275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 NE 136TH AVE APT 254",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845970",
"telephone_number": "360-787-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SE CHKALOV DR STE 49",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835277",
"telephone_number": "360-836-4136"
}
],
"practiceLocations": [
{
"address_1": "221A NE 104th Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986644539",
"country_code": "US",
"telephone_number": "360-787-5362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KACHULA",
"first_name": "IHOR",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-25",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61576648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.