Active NPI
Chelsa Elizabeth Connolly, LMT
- Massage Therapist
- Longview, TX
National Provider Identifier
1043723307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT102026
- Practice address
- 414 E Loop 281 Ste 20
Longview, TX 75605-7931 - Phone
- (903) 309-3756
- NPI assigned
- Nov 8, 2017
- Last updated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | MT102026 | TX | Primary |
Addresses
Primary practice location
414 E Loop 281 Ste 20
Longview, TX 75605-7931
Mailing address
414 E Loop 281 Ste 20
Longview, TX 75605-7931
Phone (903) 309-3756
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 |
|---|---|---|---|
| MT102026 | TX | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Codreaming LLC | Massage Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1043723307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E LOOP 281 STE 20",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057931",
"telephone_number": "903-309-3756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E LOOP 281 STE 20",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057931",
"telephone_number": "903-309-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "CHELSA",
"middle_name": "ELIZABETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT102026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
- Community Wound Resource, LLC
- Completecare Comprehensive Healthcare Solutions, LP (CompleteCare)
- Concierge Compassionate Care LLC
- Kevin Eugene Conner, MD
- Stacy Elizabeth Conner, APRN, FNP-BC
- Conquistadors Pediatric Therapy Inc
- Eugene A Constantine, MHS, OTR, CHT
- Michael W Coody, MD
- Catherine Anne Cook, CCC-SLP
- Cooper Optical Company, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.