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
- 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 and National Provider Directory roles.
-
- Massage Therapist
- Longview, TX
- NPI 1639618655
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
- 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.