Individual provider Active NPI

Cory Hunter Chrysogelos, MASSAGE THERAPIST

  • Massage Therapist
  • South Burlington, VT
National Provider Identifier
1114698925
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
164.0000823 Issued in VT
Practice address
20 Kimball Ave Ste 201a
South Burlington, VT 05403-6805
Phone
(802) 503-0075
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 164.0000823 VT Primary

Addresses

Primary practice location

20 Kimball Ave Ste 201a
South Burlington, VT 05403-6805

Mailing address

20 Kimball Ave Ste 201a
South Burlington, VT 05403-6805
Phone (802) 503-0075

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CHirotouch

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
164.0000823VTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Mehaffey, LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

20 Kimball Ave
Ste 201A
South Burlington, VT 05403
Phone (802) 343-3900

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1114698925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KIMBALL AVE STE 201A",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036805",
            "telephone_number": "802-503-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KIMBALL AVE STE 201A",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036805",
            "telephone_number": "802-503-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSOGELOS",
        "first_name": "CORY",
        "middle_name": "HUNTER",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VT",
            "license": "164.0000823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHirotouch",
            "affiliation": "N",
            "endpointDescription": "billing and soap notes",
            "address_1": "20 Kimball Ave Ste 201A",
            "city": "South Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054036805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.