Justin Michael Critelli, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0015565 Issued in CO

Practice address

224 E 1St St
Salida, CO 81201-2113

Phone

(914) 466-9779

NPI assigned

Mar 14, 2020

Last updated

Mar 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584144000000",
    "number": "1285260992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 E ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012639",
            "telephone_number": "914-466-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 1ST ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012113",
            "telephone_number": "914-466-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18999 County Road 306",
            "address_purpose": "LOCATION",
            "city": "Buena Vista",
            "state": "CO",
            "postal_code": "812119502",
            "country_code": "US",
            "telephone_number": "719-395-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRITELLI",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-14",
        "last_updated": "2020-03-14",
        "certification_date": "2020-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0015565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Chaffee (Chaffee County Public Health)
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• Massage Therapist in Salida, CO
• Providers in Salida, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; 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.