Individual provider Active NPI

Alyssa Kathleen Chong, LMT. RDA

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1306361506
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT.5985 Issued in NV
Practice address
8400 Farm Rd Ste 150
Las Vegas, NV 89131-8169
Phone
(702) 209-2722
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 NVMT.5985 NV Primary

Addresses

Primary practice location

8400 Farm Rd Ste 150
Las Vegas, NV 89131-8169

Mailing address

8400 Farm Rd Ste 150
Las Vegas, NV 89131-8169
Phone (702) 209-2722

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
NVMT.5985NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Adrienne K. Stauffer DC PLLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

8400 Farm Rd
Ste 150
Las Vegas, NV 89131
Phone (702) 209-2722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306361506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 FARM RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318169",
            "telephone_number": "702-209-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 FARM RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318169",
            "telephone_number": "702-209-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "ALYSSA",
        "middle_name": "KATHLEEN",
        "credential": "LMT. RDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.5985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.