Individual provider Active NPI

Christopher D Budny, LMT, NCTMB, CPFT

  • Massage Therapist
  • Southaven, MS
National Provider Identifier
1053469213
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT506 Issued in MS
Practice address
3121 Creech Dr.
Southaven, MS 38671
Phone
(662) 349-6822
Fax
(662) 349-6823
NPI assigned
Jan 6, 2007
Last updated
Jun 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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 LMT506 MS Primary

Addresses

Primary practice location

3121 Creech Dr.
Southaven, MS 38671

Mailing address

PO Box 1515
Southaven, MS 38671-0016
Phone (662) 349-6822

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
LMT506MSMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1053469213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710016",
            "telephone_number": "662-349-6822",
            "fax_number": "662-349-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CREECH DR.",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-6822",
            "fax_number": "662-349-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDNY",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LMT, NCTMB, CPFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MS",
            "license": "LMT506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.