Active NPI
Svetlana Gensitskiy, LMT
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1992113856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60484985
- Practice address
- 3401 SE 192ND Ave Ste 107
Vancouver, WA 98683-1472 - Phone
- (360) 882-7733
- NPI assigned
- Jul 23, 2014
- Last updated
- Jul 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 | MA60484985 | WA | Primary |
Addresses
Primary practice location
3401 SE 192ND Ave Ste 107
Vancouver, WA 98683-1472
Mailing address
7406 NE 174TH St
Battle Ground, WA 98604-5205
Phone (360) 558-0612
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 |
|---|---|---|---|
| MA60484985 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Life Chiropractic & Massage LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Vancouver, WA
- NPI 1134344880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1992113856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7406 NE 174TH ST",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986045205",
"telephone_number": "360-558-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 SE 192ND AVE STE 107",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831472",
"telephone_number": "360-882-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENSITSKIY",
"first_name": "SVETLANA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60484985",
"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 Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.