Active NPI
Christina Ellen Chance, LMT
- Massage Therapist
- Olympia, WA
National Provider Identifier
1275662926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023567
- Practice address
- 2415 Evergreen Park Dr SW Ste C4
Olympia, WA 98502-6007 - Phone
- (360) 878-2246
- Fax
- (360) 515-0767
- NPI assigned
- Mar 5, 2007
- Last updated
- Feb 22, 2019
- 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 | MA00023567 | WA | Primary |
Addresses
Primary practice location
2415 Evergreen Park Dr SW Ste C4
Olympia, WA 98502-6007
Mailing address
4034 60TH Ave SW
Olympia, WA 98512-7039
Phone (360) 753-6617
Other practice location 1
3025 Limited Ln NW
Olympia, WA 98502-2613
Phone (360) 866-0581
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00023567 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1275662926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4034 60TH AVE SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985127039",
"telephone_number": "360-753-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 EVERGREEN PARK DR SW STE C4",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985026007",
"telephone_number": "360-878-2246",
"fax_number": "360-515-0767"
}
],
"practiceLocations": [
{
"address_1": "3025 Limited Ln NW",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985022613",
"country_code": "US",
"telephone_number": "360-866-0581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANCE",
"first_name": "CHRISTINA",
"middle_name": "ELLEN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.