Individual provider Active NPI

Christopher Michael Myron Brown

  • Massage Therapist
  • Springfield, MO
National Provider Identifier
1104604016
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2017043695 Issued in MO
Practice address
1801 W Norton Rd Ste 202
Springfield, MO 65803-5367
Phone
(417) 416-8919
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 2017043695 MO Primary

Addresses

Primary practice location

1801 W Norton Rd Ste 202
Springfield, MO 65803-5367

Mailing address

1607 W Lee St
Springfield, MO 65803-1949
Phone (417) 425-5790

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
2017043695MOMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Help With Massage, LLC Massage Therapist CurrentSince Sep 24, 2023 Accepting new patients

Locations

1801 W Norton Rd
Ste 202
Springfield, MO 65803
Phone (417) 416-8919

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1104604016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 W LEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031949",
            "telephone_number": "417-425-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W NORTON RD STE 202",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658035367",
            "telephone_number": "417-416-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL MYRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2017043695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.