Individual provider Active NPI

Christopher David Deery, CMT

  • Massage Therapist
  • Phoenixville, PA
National Provider Identifier
1023297355
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG005089 Issued in PA
Practice address
1023 Gay St
Phoenixville, PA 19460-4414
Phone
(610) 906-2322
NPI assigned
Nov 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG005089 PA Primary

Addresses

Primary practice location

1023 Gay St
Phoenixville, PA 19460-4414

Mailing address

1023 Gay St
Phoenixville, PA 19460-4414
Phone (610) 906-2322

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

LicenseStateTypeSpecialty
MSG005089PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1023297355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604414",
            "telephone_number": "610-906-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604414",
            "telephone_number": "610-906-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERY",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-03",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG005089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.