Christy Jean Ellingford, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5129 Issued in ID

Practice address

671 S Woodruff Ave
Idaho Falls, ID 83401-5596

Phone

(208) 552-2584

Fax

(208) 529-3992

NPI assigned

Jan 17, 2013

Last updated

Jan 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Christy Jean Frerichs Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brad Jamison Chiropractic, P.L.L.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1265745244
  NPD (past)

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1003154568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-552-2584",
            "fax_number": "208-529-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-552-2584",
            "fax_number": "208-529-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGFORD",
        "first_name": "CHRISTY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "5129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "FRERICHS",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "CMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elite Dental Care, PLLC
• Elite Spinal Performance Chiropractic PA
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• Sheri Lisa Elkington
• Mark Alan Ellett, AGACNP
• Clinton Ellingson, MD
• Ellis Physical Therapy and Associates LLC
• Ellis Physical Therapy P a
• Alisa Ellis, LCPC
• Jay T Ellis, PT, DPT, CSCS

• Massage Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.