Active NPI
Christina Keith, CMT
- Massage Therapist
- San Jose, CA
National Provider Identifier
1225859622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5855
- Practice address
- 1021 Blossom Hill Rd Ste 20
San Jose, CA 95123-1188 - Phone
- (408) 459-9916
- NPI assigned
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5855 | CA | Primary |
Addresses
Primary practice location
1021 Blossom Hill Rd Ste 20
San Jose, CA 95123-1188
Mailing address
562 Saratoga Ave
Santa Clara, CA 95050-6948
Phone (408) 823-5876
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199888 | Other | AMERICAN MASSAGE THERAPY ASSOCIATION (AMTA) | |
| 5855 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL (CAMTC) |
| 772601 | Other | NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK (NCBTMB) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1225859622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 SARATOGA AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506948",
"telephone_number": "408-823-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 BLOSSOM HILL RD STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231188",
"telephone_number": "408-459-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "CHRISTINA",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-18",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "5855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN MASSAGE THERAPY ASSOCIATION (AMTA)",
"identifier": "199888",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL (CAMTC)",
"identifier": "5855",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK (NCBTMB)",
"identifier": "772601",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.