Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932840535 Individual Practitioner Female Practitioner

Danielle Lee Tkacik , LMT

Massage Therapist • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Danielle Tkacik, LMT is a registered healthcare professional specializing in Massage Therapist in Gresham, OR. Practice services are available at 1733 E POWELL BLVD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1733 E Powell Blvd Ste 102

Gresham, OR 970308013

Telephone 5037406343
Fax 5039743744
Associated Practice Facility / Clinic
🏢 Soully Aware Llc Facility NPI 1780448878

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
132 Specialists

Practicing in Gresham, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-07
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 26808

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi
1780448878

Secondary Practice Locations

1110 Ne Wood Village Blvd Ste 23

Wood Village, OR 970602668

Phone: 5037406343

1722 Nw Raleigh St Ste 417

Portland, OR 972091753

Phone: 5037406343

335 S Broadway St

Estacada, OR 97023

Phone: 5037406343

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Amelia Zubrinich

Massage Therapist

NPI 1235091125
Christine Nicholas-Jenani

Massage Therapist

NPI 1922978808

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 14, 2024

Registered at 1733 E POWELL BLVD STE 102, GRESHAM, OR 970308013 (Tel: 5037406343)

📍
Updated Business Mailing Address May 14, 2024

Registered at 1733 E POWELL BLVD STE 102, GRESHAM, OR 970308013 (Tel: 5037406343)

📍
Updated Practice Location February 03, 2024

Registered at 1110 NE WOOD VILLAGE BLVD STE 23, WOOD VILLAGE, OR 970602668 (Tel: 5037406343)

NPI Profile Active April 07, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2022

Registered at 3716 SE INTERNATIONAL WAY, MILWAUKIE, OR 972226001 (Tel: 5036590073)

📍
Updated Business Mailing Address April 07, 2022

Registered at 37603 RACHAEL DR, SANDY, OR 970556331 (Tel: 5035229229)

👤
Provider Name / Credentials Updated April 07, 2022

Recorded as DANIELLE TKACIK, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2022

Massage Therapist (License #26808 in OR)

🟢
Initial NPI Registration & Enumeration April 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932840535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2022
Last Update: May 14, 2024
Sole Proprietor: Yes

Mailing Address

1733 E Powell Blvd Ste 102

Gresham, OR 970308013

Phone: 5037406343

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.