Individual provider Active NPI

Christina Ellen Chance, LMT

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1275662926
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00023567 Issued in WA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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 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

LicenseStateTypeSpecialty
MA00023567WAMDMassage 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.

Verify at the official NPI Registry.