Individual provider Active NPI

Keith Chance, LMT

  • Massage Therapist
  • Austintown, OH
National Provider Identifier
1023869252
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.026665 Issued in OH
Practice address
134 Westchester Dr Ste 4
Austintown, OH 44515-3994
Phone
(330) 793-5555
Fax
(330) 793-7649
NPI assigned
Mar 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 33.026665 OH Primary

Addresses

Primary practice location

134 Westchester Dr Ste 4
Austintown, OH 44515-3994

Mailing address

134 Westchester Dr Ste 4
Austintown, OH 44515-3994
Phone (330) 793-5555

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
33.026665OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lalama Chiropractic Clinic, Inc. CurrentSince Mar 31, 2024 Accepting new patients

Locations

134 Westchester Dr
Ste 4
Youngstown, OH 44515
Phone (330) 793-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1023869252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WESTCHESTER DR STE 4",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153994",
            "telephone_number": "330-793-5555",
            "fax_number": "330-793-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WESTCHESTER DR STE 4",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445153994",
            "telephone_number": "330-793-5555",
            "fax_number": "330-793-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "KEITH",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.026665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.