Christy Ann Massengale, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

411 Issued in SC

Practice address

606 Harbour Pointe Dr
Columbia, SC 29229-7591

Phone

(864) 915-8428

NPI assigned

Dec 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1073796553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 HARBOUR POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297591",
            "telephone_number": "864-915-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 HARBOUR POINTE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297591",
            "telephone_number": "864-915-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSENGALE",
        "first_name": "CHRISTY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L. Mason, O.D.
• Katherine Savas Mason, O.D.
• Modestyne Yvonne Mason, OTR L
• Stephen Paul Masone, OD
• Massage and Bodyworx LLC (Body Theory)
• Benjamin D Massey, M.D.
• Cheryl Massey
• Maryanne Banich Massey, LPC
• Timya Jalisa Massey
• Daniel Spong Massi, M.D.

• Physical Therapy Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.