Lifestyle Massage Therapy LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LIFESTYLE MASSAGE THERAPY LLC

Practice address

4873 Manhattan Dr
Rockford, IL 61108-2265

Phone

(815) 977-5876

Fax

(855) 509-0419

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy A Cellitti, LMTNPI 1558980797

Title

Owner

Phone

(815) 977-5876

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christy Ann Cellitti, LMT

  • Massage Therapist
  • Rockford, IL
  • NPI 1558980797
  NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1225730278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4873 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-977-5876",
            "fax_number": "855-509-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-977-5876",
            "fax_number": "855-509-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MASSAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "CELLITTI",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-977-5876",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Martha Liezert, LCSW
• Life Balance
• Life Strategies Center, Inc.
• Lifenet, Inc (REACT Air Medical)
• Lifescape Community Services, Inc.
• Lifetime Dental Care of Illinois, PC (Dental Group of Rockford)
• Ann Mary Ligman-Schliem, DNP, FNP- B.C.
• John Lind, MD
• Linda Nguyen
• Laura Kathleen Lindell, LCSW

• Health Service Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.